Managed care contractor to register with director.

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58-17F-16. Managed care contractor to register with director.

Each managed care contractor, as defined in §58-17F-1, shall register with the director prior to engaging in any managed care business in this state. The registration shall be in a format prescribed by the director. In prescribing the form or in carrying out other functions required by §§58-17F-16 to 58-17F-20, inclusive, the director shall consult with the secretary if applicable. The director or the secretary may require that the following information be submitted:

(1)Information relating to its actual or anticipated activities in this state;

(2)The status of any accreditation designation it holds or has sought;

(3)Information pertaining to its place of business, officers, and directors;

(4)Qualifications of review staff; and

(5)Any other information reasonable and necessary to monitor its activities in this state. (SL 2012, ch 239, §1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.")

Source: SL 2011, ch 219, §16.


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