Regulations
| 9771.79....Examination Procedure | |
| Regular and additional or nonroutine examinations conducted by the Administrative Director pursuant to Section 4600. 6(q) of the Code will ordinarily be commenced on an ...more | |
| 9771.80....Additional or Nonroutine Examinations and Surveys | |
| Â (3) The organization has committed, or the Administrative Director has reason to believe that the organization has committed, any of the acts or omissions enumerated ...more | |
| 9771.81....Financial Statements | |
| Â (b) The financial statements shall be audited by an independent accountant in accordance with Rule 9771. 60(e). Â (d) Upon written request of an organization, the ...more | |
| 9771.82....Books and Records | |
| (a) Each organization, solicitor firm, and solicitor shall keep and maintain their books of account and other records on a current basis. Â (b) Each organization shall ...more | |
| 9771.83....Retention of Books and Records | |
| After such books and records have been preserved for two years, they may be warehoused or stored, or microfilmed, subject to their availability to the Administrative ...more | |
| 9772....General Standards | |
| Facilities not located in this state shall conform to all licensing and other requirements of the jurisdiction in which they are located. Â (4) The HCO shall provide ...more | |
| 9773....Treatment Standards | |
| This treatment must be provided without payment of any co-payment, deductible, or premium share by an HCO enrollee. HCOs must provide a description of the method for ...more | |
| 9773.1....Referrals to Chiropractors | |
| HCOs shall maintain guidelines for chiropractor care in accordance with paragraph (2) of subdivision (1) of Section 4600. 5 of the Labor Code. The HCO must include a ...more | |
| 9774....Quality of Care | |
| The program must demonstrate that the HCO's utilization review activities are designed to improve the quality of care provided. Reports to the HCO's governing body shall ...more | |
| 9775....Grievance and Dispute Resolution Procedure | |
| (a) HCOs must maintain a grievance procedure under which HCO enrollees or participating providers may submit grievances to the HCO. Each HCO must include a system for ...more | |
