Certificate of Authority Required; Setting of Rates; Authority of Commissioners

  1. Law
  2. Georgia Code
  3. Insurance
  4. Medicaid Care Management Organizations
  5. Certificate of Authority Required; Setting of Rates; Authority of Commissioners

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  1. 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.
  2. 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.
  3. 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.
  4. Nothing in this chapter shall be interpreted as altering the authority of the commissioner of community health.

(Code 1981, §33-21A-3, enacted by Ga. L. 2008, p. 704, § 1/HB 1234.)


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