Common use of Utilization Management Clause in Contracts

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators responsible for oversight of Contractor.

Appears in 21 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Covered California for Small

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Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators responsible for oversight of Contractor.

Appears in 10 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators regulator responsible for oversight of Contractor.

Appears in 5 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including including, Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators Health Insurance Regulator responsible for oversight of Contractor.

Appears in 4 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Health Plan Issuer Contract

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators Health Insurance Regulator responsible for oversight of Contractor.

Appears in 3 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

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Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators responsible for oversight of Contractor.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including including, Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators Health Insurance Rregulator responsible for oversight of Contractor.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Utilization Management. Contractor shall maintain a utilization management program that complies with applicable laws, rules and regulations, including,including Health and Safety Code § 1367.01 and other requirements established by the applicable State Regulators Health Insurance Regulator responsible for oversight of Contractor.

Appears in 1 contract

Samples: Covered California Qualified Dental Plan Issuer Contract

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