Section 1371.38 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1371.38
. (a) The department shall, on or before July 1, 2001, adopt
regulations that ensure that plans have adopted a dispute resolution
mechanism pursuant to subdivision (h) of Section 1367. The
regulations shall require that any dispute resolution mechanism of a
plan is fair, fast, and cost-effective for contracting and
non-contracting providers and define the term "complete and accurate
claim, including attachments and supplemental information or
documentation."
(b) On or before December 31, 2001, the department shall report to
the Governor and the Legislature its recommendations for any
additional statutory requirements relating to plan and provider
dispute resolution mechanisms.