Notice by risk bearing entity of change in conditions--Assignment of contract.

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58-41-123. Notice by risk bearing entity of change in conditions--Assignment of contract.

A health maintenance organization shall require in any contract with a risk bearing entity that the risk bearing entity provide notice to the health maintenance organization within thirty days of:

(1)Any changes involving the ownership structure of the risk bearing entity; or

(2)Financial or operational concerns regarding the financial viability of the risk bearing entity.

A health maintenance organization shall also require in any contract with a risk bearing entity a provision that allows the director, in the event that a risk bearing entity fails to comply with any provision of §§58-41-120 to 58-41-126, inclusive, to assign for six months, the risk bearing entity's contract with providers to furnish covered services.

Source: SL 2013, ch 256, §38.


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