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CA SB542
Bill
AI Summary
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Clarifies that independent medical reviews conducted for medical provider networks are "MPN independent medical reviews" and establishes qualifications and procedures for medical reviewers.
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Requires medical provider networks to post contact information for network contacts and medical access assistants on their websites, along with information about obtaining required employee notifications.
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Allows modifications that bring medical provider network plans into full compliance with current laws to reset the 4-year approval period, effective January 1, 2016.
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Shifts responsibility for filing continuity of care policies from insurers/employers to medical provider networks, and requires employers or claims administrators to provide treatment completion for terminated providers in cases of acute conditions, serious chronic conditions, terminal illness, or authorized surgeries.
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Authorizes the administrative director to base home health care services fee schedules on either in-home supportive services rates or other state or federal home health care fee schedules, rather than requiring exclusive use of in-home supportive services rates.
Legislative Description
Workers' compensation: medical provider networks: fee schedules.
Last Action
Chaptered by Secretary of State. Chapter 542, Statutes of 2015.
10/6/2015