Prism

Ask

§ 53912.5. Care Under Emergency Circumstances.

California

§ 53912.5. Care Under Emergency Circumstances.

1 provisions · California regulatory authority

Provisions

Citable source units

22 CCR 53912.5Emergency ServicesReimbursement Payment

Care Under Emergency Circumstances.

Requires GMC plans to arrange and pay for emergency and diagnostic emergency-room or urgent-care services at specified rate limits without prior authorization for listed diagnostic services.

Group

Clinical Services

Category

Emergency Services

Domain

Emergency

Topics

Emergency care coverage, Urgent care coverage, Emergency room diagnostics

Read provision