Cal. Code Regs. Tit. 22, § 53914.5 - Provider Grievances and Complaints

(a) A provider of medical or dental services may submit to a GMC plan a grievance or compliant concerning the authorization or denial of a service or the processing payment or nonpayment of a claim by that GMC plan. Each GMC plan shall comply with the provider grievance and complaint requirements specified in Section 56262. These requirements shall apply to PHPs, PCCM plans, and dental plans in the GMC program.

Notes

Cal. Code Regs. Tit. 22, § 53914.5

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).