Pennsylvania Code
Title 34 - LABOR AND INDUSTRY
Part VIII - Bureau of Workers' Compensation
Chapter 122 - GENERAL PROVISIONS OF ACT 57 OF 1996-STATEMENT OF POLICY
Subchapter G - COORDINATED CARE ORGANIZATIONS-STATEMENT OF POLICY
- Section 122.601 - Applicability and purpose
- Section 122.602 - Definitions
- Section 122.603 - Uncertified CCOs
- Section 122.604 - Application process
- Section 122.605 - Certification application fees
- Section 122.606 - Certification periods
- Section 122.607 - Recertification
- Section 122.608 - Contents of an application for certification as a CCO
- Section 122.609 - Requirements for a CCO's health service delivery system
- Section 122.610 - Standards for contracts and agreements with providers
- Section 122.611 - Standards for a case management and evaluation system and case communication system
- Section 122.612 - Standards for utilization review
- Section 122.613 - Standards for quality assurance program
- Section 122.614 - Injured worker satisfaction program
- Section 122.615 - Injured worker grievance system and provision of alternatives
- Section 122.616 - External quality assessment of CCOs
- Section 122.617 - Corrective action plans
- Section 122.618 - Exemptions for rural CCOs
- Section 122.619 - Access to records; inspections of CCOs
- Section 122.620 - Role of the CCO in billing
- Section 122.621 - Referrals within a CCO
- Section 122.622 - Prohibition of risk-transfer to CCOs
- Section 122.623 - Data reporting requirements
- Section 122.624 - Requirements for service area expansion
- Section 122.625 - Injured worker literature
- Section 122.626 - Contracts with independent organizations for performance of case management and communication or utilization review services
- Section 122.627 - Changes or additions to previously approved application
Current through Register Vol. 54, No. 38, September 21, 2024
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