Título 33. INSURANCE · Capítulo 21A. MEDICAID CARE MANAGEMENT ORGANIZATIONS
33-21A-3. Certificate of authority required; setting of rates; authority of commissioners.
Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.
El texto siguiente es la ley tal como la imprime el estado, en inglés.
- (a)
A care management organization shall be required to obtain a certificate of authority as a health maintenance organization pursuant to Chapter 21 of this title prior to providing or arranging health care for members pursuant to a contract with the Department of Community Health. On and after the date of issuance of its certificate of authority as a health maintenance organization, a care management organization shall comply with all provisions relating to health maintenance organizations and all provisions relating to managed health care plans, with the exception of Code Section 33-20A-9.1.#
- (b)
The Commissioner of Insurance shall not have the authority to approve, disapprove, or set rates paid by the Department of Community Health to a care management organization or paid by a care management organization to a health care provider.#
- (c)
The Commissioner of Insurance shall not have the authority to approve, disapprove, or modify any plan offered by a care management organization or any contract between a care management organization and the Department of Community Health.#
- (d)
Nothing in this chapter shall be interpreted as altering the authority of the commissioner of community health.#
History
Code 1981, § 33-21A-3, enacted by Ga. L. 2008, p. 704, § 1/HB 1234.
Leer la página oficial (el PDF del estado, abierto en la página de la que se leyó este texto).
Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.
Texto leído de t33-ch1-22-(v24)-2020-pdf.pdf, Volumen V24, edición 2020, páginas 906 a 907; acción de fusión: carried; SHA-256 del archivo 4ecec175d949.