Article 8. Self-Policing Procedures

• § 1300.67.60. Standing Referral to HIV/AIDS Specialist. [Renumbered]
• § 1300.68. Grievance System.
• § 1300.68.01. Expedited Review of Grievances.
• § 1300.68.2. Hospice Services.
• § 1300.69. Public Policy Participation by Subscribers.
• § 1300.70. Health Care Service Plan Quality Assurance Program.
• § 1300.70.4. Independent Medical Reviews Experimental and Investigational Therapies.
• § 1300.71. Claims Settlement Practices.
• § 1300.71.31. Methodology for Determining Average Contracted Rate; Default Reimbursement Rate.
• § 1300.71.38. Fast, Fair and Cost-Effective Dispute Resolution Mechanism.
• § 1300.71.39. Unfair Billing Patterns.
• § 1300.71.4. Emergency Medical Condition and Post-Stabilization Responsibilities for Medically Necessary Health Care Services.
• § 1300.73.21. Arbitration and Settlement Agreements.
• § 1300.74.16. Standing Referral to HIV/AIDS Specialist.
• § 1300.74.30. Independent Medical Review System.
• § 1300.74.72. Mental Health Parity.
• § 1300.74.73. Pervasive Developmental Disorder and Autism Coverage.