---
title: O.C.G.A. § 33-20A-6. Financial incentive programs prohibited; capitated payment arrangement allowed.
collection: code
id: 33-20A-6
cite_as: O.C.G.A. § 33-20A-6 (2025)
canonical_url: https://georgiacommons.org/code/33-20A-6
md_url: https://georgiacommons.org/code/33-20A-6.md
text_url: https://georgiacommons.org/code/33-20A-6/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t33-ch1-22-(v24)-2020-pdf.pdf?sfvrsn=a873240d_0#page=817
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
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version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: INSURANCE / MANAGED HEALTH CARE PLANS / PATIENT PROTECTION
---

# O.C.G.A. § 33-20A-6. Financial incentive programs prohibited; capitated payment arrangement allowed.

(a) A managed care plan may not use a financial incentive or disincentive program that directly or indirectly compensates a health care provider or hospital for ordering or providing less than medically necessary and appropriate care to his or her patients or for denying, reducing, limiting, or delaying such care. Nothing in this Code section shall be deemed to prohibit a managed care entity from using a capitated payment arrangement consistent with the intent of this Code section.

(b) A managed care plan shall make full and timely payment or reimbursement to any health care provider or hospital in the same manner and subject to the same penalties as required of insurers for group accident and sickness insurance policies under paragraph (5) of subsection (b) of Code Section 33-30-6.

## History

Code 1981, § 33-20A-6, enacted by Ga. L. 1996, p. 485, § 1; Ga. L. 1999, p. 342, § 2; Ga. L. 1999, p. 350, § 2; Ga. L. 2000, p. 136, § 33.

## Editor's Notes

Ga. L. 1999, p. 342, § 7, not codified by the General Assembly, provides that: ‘‘This Act shall become effective on July 1, 1999, for purposes of preparing for implementation of the consumer choice option and shall be applicable to any contract, policy, or other agreement of a managed care plan or health maintenance organization if such contract, policy, or agreement provides for health care services or reimbursement therefor and is issued, issued for delivery, delivered, or renewed on or after January 1, 2000.’’