Fla. Admin. Code R. 69O-240.001
Shared Savings Program Requirements
Effective Mar 5, 2020Rulemaking Authority 624.308(1), 627.6387(3)(b), 627.6387(5), 627.6648(3)(b), 627.6648(5), 641.31076(3)(b), 641.31076(5) FS. Law Implemented 627.6387, 627.6648, 641.31076 FS.Department of Financial Services
(1) A health insurer or health maintenance organization that wants to implement a shared savings program shall submit the following:
- (a) Form OIR-B2-2214, “Shared Savings Program Description,” effective 9/19, hereby incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-11554" http://www.flrules.org/Gateway/reference.asp?No=Ref-11554;
- (b) Form OIR-B2-2215, “Shared Savings Program Policy Template,” effective 9/19, hereby incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-11555" http://www.flrules.org/Gateway/reference.asp?No=Ref-11555; and
- (c) Form OIR-B2-2216, “Shared Savings Program Rates Template,” effective 9/19, hereby incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-11556" http://www.flrules.org/Gateway/reference.asp?No=Ref-11556.
- (2) A health insurer or health maintenance organization shall submit the forms listed in subsection (1) electronically through floir.gov/iportal.
Rulemaking Authority 624.308(1), 627.6387(3)(b), 627.6387(5), 627.6648(3)(b), 627.6648(5), 641.31076(3)(b), 641.31076(5) FS. Law Implemented 627.6387, 627.6648, 641.31076 FS. History‒New 3-5-20, Technical Change 4-15-26.