Kan. Stat. Ann. § 40-3202. Definitions: Health Maintenance Organization Act – Kansas

Status: Enacted
Year Enacted: 1974
Year Amended: 2000
File: Download

As used in this act:
(a) “Commissioner” means the commissioner of insurance of the state of Kansas.
(b) “Basic health care services” means but is not limited to usual physician, hospitalization, laboratory, x-ray, emergency and preventive services and out-of-area coverage.
(c) “Capitated basis” means a fixed per member per month payment or percentage of premium payment wherein the provider assumes risk for the cost of contracted services without regard to the type, value or frequency of services provided. For purposes of this definition, capitated basis includes the cost associated with operating staff model facilities.


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