Cal. Code Regs. Tit. 22, § 53312 - Reporting

(a) Each plan, except those that are excluded under Section 14308(c), Welfare and Institutions Code, shall submit reports to the Department as specified below.

(b) Annual reports shall include:

(1) The financial audit required by Section 53340. This report shall be submitted to the Department no later than 90 days after the close of the plan's fiscal year.

(2) An update of the provider listing required in Section 53242(b).

(3) Disclosure statements in compliance with Section 53601.

(c) Quarterly reports shall include:

(1) Utilization and statistical data in compliance with Section 53314.

(2) Financial reports pursuant to Section 53324(c).

(3) Child Health and Disability Prevention Program reporting disclosing services rendered in accordance with Section 53210(a)(7)(B).

(d) Other reports which shall be submitted to the Department include the following:

(1) Information requested by the Department to conduct medical reviews or contract monitoring in accordance with Section 14457, Welfare and Institutions Code.

(2) Financial reports relevant to affiliates as specified in Section 53330.

(3) Copies of any financial reports submitted to other public or private organizations as specified in Section 53324(d).

(4) Notification of possible third-party tort liability situations. This information shall be submitted within ten days of discovery.

(5) Information necessary for the evaluation of compliance with Section 53402.

Notes

Cal. Code Regs. Tit. 22, § 53312

1. Amendment of subsections (c) and (d) filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50). For prior history, see Register 78, No. 27.
2. Amendment filed 12-30-81; effective thirtieth day thereafter (Register 82, No. 1).

Note: Authority cited: Section 14312, Welfare and Institutions Code. Reference: Sections 14308, 14457 and 14459, Welfare and Institutions Code.

1. Amendment of subsections (c) and (d) filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50). For prior history, see Register 78, No. 27.
2. Amendment filed 12-30-81; effective thirtieth day thereafter (Register 82, No. 1).