Syfert Injury Law Firm

Definitions.

Purpose and application of part.

Certification of health maintenance organization and prepaid health clinic as health care providers; application procedure.

Requirements for issuance and maintenance of certificate.

Quality assurance program; second medical opinion requirement.

Subscriber grievance reporting and resolution requirements.

Accreditation and external quality assurance assessment.

Requirements for providing emergency services and care.

Coverage for air ambulance services.

Investigation by the agency.

Revocation of certificate; suspension of new enrollment; suspension of the health care provider certificate; administrative fine; notice of action to the office; penalty for use of unlicensed providers.

Information disclosure.

Subscriber risk assessments; requirements.

Internal risk management program.

Rulemaking authority.

Disposition of moneys collected under this part.

Regulatory assessment; levy and amount; use of funds; tax returns; penalty for failure to pay.

Psychotherapeutic services; records and reports.

Subscriber satisfaction assessment.

Chronic diseases among subscriber populations.