Cal. Code Regs. tit. 22 § 53200

Current through Register 2025 Notice Reg. No. 2, January 10, 2025
Section 53200 - Organization and Administration
(a) Each plan shall have the organizational and administrative ability to carry out its contractual obligations, including but not limited to the following:
(1) An unrestricted Knox-Keene license or pending application therefor.
(2) A medical director as specified in Section 53246.
(3) A grievance procedure as specified in Section 53260.
(4) Member and enrollment reporting systems which fulfill the plan's contractual obligations.
(5) A data-reporting system which provides reports required under the contract to the Department on a timely basis.
(6) Financial records and books of account fully disclosing the disposition of all Medi-Cal program funds received. Such records and books shall be maintained on the accrual basis in accordance with generally accepted accounting principles.

Cal. Code Regs. Tit. 22, § 53200

1. Amendment filed 12-30-81; effective thirtieth day thereafter (Register 82, No. 1).

Note: Authority cited: Section 14312, Welfare and Institutions Code. Reference: Sections 14251, 14308, 14450, and 14459, Welfare and Institutions Code.

1. Amendment filed 12-30-81; effective thirtieth day thereafter (Register 82, No. 1).