California California – 2018 I. Scope and Applicability A. Who is subject to the state’s grievance regulations? Every health care service plan shall establish a grievance system. 28 CCR § 1300.68 HMOs? Yes. Insurers? Yes. Utilization Review Organizations. No provision. ACOs? Yes. PPOs? Yes. Third Party Administrators? No provision. B. What terms does the state use to […]

To access this content, please login or click here to subscribe