Health Maintenance Organizations and Medicare Provider Organizations | Midpage

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Kansas Statutes

Article 32

Health Maintenance Organizations and Medicare Provider Organizations

40-3201Title 40-3202Definitions 40-3203Certificate of authority required; application; contents; rules and regulations governing modifications and amendments; approval of commissioner 40-3204Notice that application incomplete, insufficient or unsatisfactory; issuance of certificate, when 40-3207Denial, suspension or revocation of certificate; administrative penalty; notice; hearing 40-3208Powers 40-3209Certificates of coverage, contracts and other marketing documents, contents, form, filing; continuation and conversion requirements; enrollee not liable to provider for amount owed; application of K.S.A. 40-2209 and 40-2215 40-3210Prepaid per capita or aggregate fixed sum contracts authorized 40-3211Examination of organizations and providers 40-3212Filings and reports as public documents 40-3213Authorization of commissioner to set and publish fees; disposition of moneys; reporting requirements; payment of estimated fees owed; reconciliation of actual fees owed 40-3214Construction and relationship to other laws 40-3215Rules and regulations 40-3216Penalty 40-3218Contractual designation of persons to make recommended findings to commissioner 40-3219Effect of act on federal assistance 40-3220Annual report 40-3221Liability of officers 40-3222Use of certain words and initials prohibited 40-3223Open enrollment 40-3224Investments 40-3225Fiduciary responsibilities; fidelity bond or insurance 40-3226Confidentiality of medical information 40-3227Deposit requirements; waiver of deposit; plan for continuation of benefits following insolvency 40-3228Grievance procedures; minimum requirements 40-3229Prior authorization requirements for emergency medical treatment; duties and responsibilities of organization, enrollees and participating providers; resolution of disputes 40-3230Continuity of treatment upon termination of provider from plan 40-3231Uncovered expenditure deposit; amount; withdrawal, when; commissioner's duties; rules and regulations 40-3232Insolvent health maintenance organization; allocation of insureds to other health maintenance organizations, when; eligibility for Kansas uninsurable health insurance plan act, when 40-3233Rehabilitation, liquidation or conservation of health maintenance organization; commissioner's powers; priority of enrollee; distribution of assets 40-3234Health maintenance organization; financial condition; hearing; commissioner's powers 40-3235Health maintenance organization act; provisions supplemental to 40-3236Medical assistance fee fund; use and disposition of moneys credited to fund; reporting requirements 40-3217Operational health maintenance organizations; issuance of certificate