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Subpart 98-1 Managed Care Organizations | Midpage
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New York Codes, Rules and Regulations
Title 10
Chapter II
Subchapter R. Health Maintenance Organizations
Part 98
Subpart 98-1 Managed Care Organizations
Subpart 98-1 Managed Care Organizations
Department of Health
98-1.1
Applicability.
98-1.2
Definitions.
98-1.3
Reserved
98-1.4
Certificate of incorporation or articles of organization.
98-1.5
Application for a certificate of authority.
98-1.6
Issuance of a certificate of authority.
98-1.7
Limitations of a certificate of authority.
98-1.8
Continuance of a certificate of authority.
98-1.9
Acquisition or retention of control of MCOs.
98-1.10
Transactions within a holding company system affecting controlled MCOs.
98-1.11
Operational and financial requirements for MCOs.
98-1.12
Quality management program.
98-1.13
Assurance of access to care.
98-1.14
Enrollee services and grievance procedures.
98-1.15
Employer requirements.
98-1.16
Disclosure and filing.
98-1.17
Audits and examinations.
98-1.18
Relationship between an MCO and an IPA.
98-1.19
Marketing by MLTCPs.
98-1.20
Waved requirements for MLTCPs.
98-1.21
Fraud and abuse prevention plans and special investigation units
98-1.22
Warning statements.