§ 2538.7. Health Insurer Monitoring, Evaluation & Reporting.
10 CA ADC § 2538.7Barclays Official California Code of Regulations
10 CCR § 2538.7
§ 2538.7. Health Insurer Monitoring, Evaluation & Reporting.
(a) Every health insurer shall monitor the implementation and provision of its LAP and make modifications as necessary to ensure compliance with Insurance Code sections 10133.8 and 10133.9 and these regulations. The health insurer's policies and procedures shall include a description of the health insurer's method of (1) monitoring health insurer, contractor, health care provider, and network compliance with the health insurer's standards for the LAP Assistance Program, including the availability, quality and utilization of language assistance services, (2) tracking grievances and complaints related to its LAP Assistance Program, and (3) documenting actions taken to correct problems.
(2) Within one year after the health insurer's initial assessment but no later than December 1, 2009 and biennially by December 1st thereafter, every health insurer shall report to the Department of Insurance on its internal policies and procedures related to cultural appropriateness and any other information related to the health insurer's LAP as requested by the Commissioner, in a format specified by the department that shall include at least the following information:
Credits
Note: Authority cited: Sections 10133.8 and 10133.9, Insurance Code. Reference: Sections 10133.8 and 10133.9, Insurance Code.
History
1. New section filed 9-19-2007; operative 10-19-2007 (Register 2007, No. 38).
This database is current through 5/24/24 Register 2024, No. 21.
Cal. Admin. Code tit. 10, § 2538.7, 10 CA ADC § 2538.7
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