California Health and Safety Code 1375.6 – No contract between a risk-bearing organization and a health care …
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No contract between a risk-bearing organization and a health care service plan that is issued, amended, delivered, or renewed in this state on or after July 1, 2000, shall include any provision that requires a provider to accept rates or methods of payment specified in contracts with health care service plan affiliates or nonaffiliates unless the provision has been first negotiated and agreed to between the health care service plan and the risk-bearing organization.
(Added by Stats. 1999, Ch. 529, Sec. 5. Effective January 1, 2000.)
Terms Used In California Health and Safety Code 1375.6
- Contract: A legal written agreement that becomes binding when signed.
- plan: refers to health care service plans and specialized health care service plans. See California Health and Safety Code 1345
- Provider: means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services. See California Health and Safety Code 1345
- State: means the State of California, unless applied to the different parts of the United States. See California Health and Safety Code 23