California Welfare and Institutions Code

§ 14459.5

WIC § 14459.5 Effective Jan 1, 2018Div. 9 · Part 3 · Ch. 8 · Art. 5

Statute text

(a)As delegated by the federal government, the department has responsibility for monitoring the quality of all Medicaid services provided in the state. A key component of this monitoring function is the performance of annual, independent, external reviews of the quality of services furnished under each state contract with a health maintenance organization, as specified by the federal Centers for Medicare and Medicaid Services.

(b)In accordance with Section 438.332 of Title 42 of the Code of Federal Regulations, the department shall require, through its contracts, that each managed care plan inform the department whether it has been accredited by a private independent accrediting entity.

(c)In accordance with Section 438.332 of Title 42 of the Code of Federal Regulations, the department shall require, through its contracts, that each managed care plan that has received accreditation by a private independent accrediting entity shall authorize the private independent accrediting entity to provide the department a copy of its most recent accreditation review, including all of the following:

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Legislative history

Amended by Stats. 2017, Ch. 511, Sec. 30. (AB 1688) Effective January 1, 2018.