California
Organization and Administration.
22 CCR 56200
Source text
8 segments
22 CCR 56200
22 CCR 56200
§ 56200. Organization and Administration. Each PCCM plan shall have the organizational and administrative ability to carry out its contractual obligations.To demonstrate this ability, each PCCM plan shall maintain the following:
(a)
A license to provide medical care.
(b)
An approved Medi-Cal provider number.
(c)
A grievance procedure as specified in section 56260.
(d)
Member and enrollment reporting systems which fulfill the PCCM plan's contractual obligations.
(e)
A data-reporting system which provides reports required under the contract to the Department on a timely basis.
(f)
Financial records and books of account fully disclosing the disposition of all Medi-Cal program funds received under the PCCM contract. These records and books shall be maintained on the accrual basis and in a uniform accounting system in accordance with generally accepted accounting principles.
(g)
A medical director as specified in section 56246.
Source outline
7 anchors in this source
