California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 4 - Certification Standards for Health Care Organizations
Section 9779 - Certification
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Once an applicant has completed an application and submitted a fee in accordance with Section 9771 and has demonstrated to the administrative director that its organization has met all of the criteria for certification, the administrative director will certify the organization as an HCO for a period of three years, unless earlier revoked or suspended.
(b) Once the Administrative Director has determined that an entity licensed as a full service health care service plan under Section 1353 of the Health and Safety Code (a Knox-Keene Health Care Service Plan Act) and deemed to be an HCO pursuant to Labor Code Section 4600.5(c) has complied with the requirements of Section 9771 subsections (g)(1) and (2) the administrative director shall certify the organization as an HCO, pursuant to Section 4600.5(c), for a period of three years unless earlier revoked or suspended.
(c) A certification shall state that a particular entity is certified as a health care organization to provide health care to injured employees for injuries and diseases and other services in accordance with the terms of the entity's application. The certification shall also state:
(d) The HCO will be recertified at the expiration of each subsequent three year period, provided it continues to meet the requirements of this article and timely pays a recertification fee of $1,000.
1. New
section filed 12-31-93; operative 1-1-94. Submitted to OAL for printing only
pursuant to Government Code section 11351 (Register 93, No. 53).
2.
Amendment of subsection (a), repealer and new subsection (b), amendment of
subsection (c), repealer and new subsection (d), repealer of subsection (e),
and amendment of NOTE filed 2-14-96; operative 2-14-96. Submitted to OAL for
printing only pursuant to Government Code section 11351 (Register 96, No.
7).
3. New subsection (b), repealer of subsection (d) and subsection
relettering filed 1-9-2003; operative 1-9-2003 pursuant to Government Code
section 11343.4 (Register 2003, No. 2).
4. Amendment of subsection
(d) filed 11-4-2009; operative 1-1-2010 (Register 2009, No.
45).
Note: Authority cited: Sections 133, 4600.5, 4600.7, 4603.5 and 5307.3, Labor Code. Reference: Sections 4600, 4600.5 and 4600.7, Labor Code.