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Oklahoma Administrative Code
Title 310
Chapter 655
Okla. Admin. Code tit. 310, ch. 655
Health Maintenance Organizations and Prepaid Health Plans
Oklahoma State Department of Health
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1
General Provisions
3
Rating System
5
Comprehensive and Supplemental Health Services
7
Point of Service Option
9
License Applications
11
Review of Applications
13
Public Hearings on Initial License Applications
15
Requirements for a License
17
Utilization and Quality Review Systems
19
Ownership/Control of HMO
21
Issuance of a License
23
Withdrawal of a License
25
Protection Against Insolvency
27
Termination of Members, Providers and Continuation of Benefits
29
Discontinuation of HMO
31
Failure to Obtain License
33
Reports and Periodic Filings
35
Requirements for Group Contract, Individual Contract and Evidence of Coverage
37
Confidentiality of Medical Information and Liability
39
Powers of Health Maintenance Organizations
41
Miscellaneous Provisions
43
Ex Parte Contacts
45
Geographic Service Area Variations
47
Reimbursement of Claims
49
Administrative Penalties
51
Coordination With State Insurance Commissioner
53
Examinations
55
57
Risk Based Capital