Health Maintenance Organizations And Medicare Provider Organizations

  1. Law
  2. Kansas Statutes
  3. Insurance
  4. Health Maintenance Organizations And Medicare Provider Organizations

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Section
40-3201

Title.

Section
40-3202

Definitions.

Section
40-3203

Certificate of authority required; application; contents; rules and regulations governing modifications and amendments; approval of commissioner.

Section
40-3204

Notice that application incomplete, insufficient or unsatisfactory; issuance of certificate, when.

Section
40-3207

Denial, suspension or revocation of certificate; administrative penalty; notice; hearing.

Section
40-3208

Powers.

Section
40-3209

Certificates of coverage, contracts and other marketing documents, contents, form, filing; continuation and conversion requirements; enrollee not liable to provider for amount owed; application of 40-2209 and 40-2215.

Section
40-3210

Prepaid per capita or aggregate fixed sum contracts authorized.

Section
40-3211

Examination of organizations and providers.

Section
40-3212

Filings and reports as public documents.

Section
40-3213

Fees; disposition of moneys; reporting requirements; payment of estimated fees owed; reconciliation of actual fees owed.

Section
40-3214

Construction and relationship to other laws.

Section
40-3215

Rules and regulations.

Section
40-3216

Penalty.

Section
40-3217

Operational health maintenance organizations; issuance of certificate.

Section
40-3218

Contractual designation of persons to make recommended findings to commissioner.

Section
40-3219

Effect of act on federal assistance.

Section
40-3220

Annual report.

Section
40-3221

Liability of officers.

Section
40-3222

Use of certain words and initials prohibited.

Section
40-3223

Open enrollment.

Section
40-3224

Investments.

Section
40-3225

Fiduciary responsibilities; fidelity bond or insurance.

Section
40-3226

Confidentiality of medical information.

Section
40-3227

Deposit requirements; waiver of deposit; plan for continuation of benefits following insolvency.

Section
40-3228

Grievance procedures; minimum requirements.

Section
40-3229

Prior authorization requirements for emergency medical treatment; duties and responsibilities of organization, enrollees and participating providers; resolution of disputes.

Section
40-3230

Continuity of treatment upon termination of provider from plan.

Section
40-3231

Uncovered expenditure deposit; amount; withdrawal, when; commissioner's duties; rules and regulations.

Section
40-3232

Insolvent health maintenance organization; allocation of insureds to other health maintenance organizations, when; eligibility for Kansas uninsurable health insurance plan act, when.

Section
40-3233

Rehabilitation, liquidation or conservation of health maintenance organization; commissioner's powers; priority of enrollee; distribution of assets.

Section
40-3234

Health maintenance organization; financial condition; hearing; commissioner's powers.

Section
40-3235

Health maintenance organization act; provisions supplemental to.

Section
40-3236

Medical assistance fee fund; use and disposition of moneys credited to fund; reporting requirements.