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§ 1300.67.1. Continuity of Care.


Barclays Official California Code of Regulations Currentness
Title 28. Managed Health Care
Division 1. The Department of Managed Health Care
Chapter 2. Health Care Service Plans
Article 7. Standards
28 CCR § 1300.67.1
§ 1300.67.1. Continuity of Care.
Within each service area of a plan, basic health care services shall be provided in a manner which provides continuity of care, including but not limited to:
(a) The availability of primary care physicians, who will be responsible for coordinating the provision of health care services to each enrollee;
(b) The encouragement of each enrollee to select a primary physician;
(c) The maintenance and ready availability of medical records, with sharing within the plan of all pertinent information relating to the health care of each enrollee;
(d) The maintenance of staff, including health professionals, administrative and other supporting staff, directly or through an adequate referral system, sufficient to assure that health care services will be provided on a timely and appropriate basis to enrollees;
(e) An adequate system of documentation of referrals to physicians or other health professionals. The monitoring of the follow up of enrollees' health care documentation shall be the responsibility of the health care service plan and associated health professionals.
Note: Authority cited: Section 1344, Health and Safety Code. Reference: Section 1367, Health and Safety Code.
1. Amendment filed 1-12-83; effective thirtieth day thereafter (Register 83, No. 3).
This database is current through 5/6/22 Register 2022, No. 18
28 CCR § 1300.67.1, 28 CA ADC § 1300.67.1
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