28 CA ADC § 1300.67.1


      28 CCR s 1300.67.1

      Cal. Admin. Code tit. 28, s 1300.67.1


      CALIFORNIA CODE OF REGULATIONS
      TITLE 28. MANAGED HEALTH CARE
      DIVISION 1. THE DEPARTMENT OF MANAGED HEALTH CARE
      CHAPTER 2. HEALTH CARE SERVICE PLANS
      ARTICLE 7. STANDARDS
      This database is current through 06/09/06, Register 2006, No. 23.

      s 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. 


       HISTORY 
         
      1. Amendment filed 1-12-83; effective thirtieth day thereafter (Register 
      83, 
      No. 3).
      28 CA ADC s 1300.67.1

      END OF DOCUMENT

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