Rule 120-2-113-.03. Definitions
- (1) "Health insurer" or "insurer" means an accident and sickness insurer, care management organization, healthcare corporation, health maintenance organization provider sponsored healthcare corporation, or any similar entity regulated by the Commissioner.
- (2) "Program" means a program that allows for the selective application of reductions in prior authorization requirements based on the stratification of healthcare providers' performance and adherence to evidence-based medicine.
- (3) All other terms as defined in Chapter 46 of Title 33 which are used in this Regulation shall have the same meaning as defined in that Chapter.
Authority: O.C.G.A. §§ 33-2-9, 33-46-20.1.
History. Original Rule entitled "Definitions" adopted. F. Dec. 3, 2025; eff. Dec. 23, 2025.