Ariz. Rev. Stat. § 20-1069.01. Right to open enrollment period; enrollees; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1072. Nonliability of enrollees for provider or hospital charges; penalty: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1074. Contract termination; duty to report; provision for continued services during insolvency; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1379. Guaranteed availability of individual health insurance coverage; prior group coverage; definitions: Disability Insurance – Arizona
Status: Enacted Year Enacted: 2000
Every health care insurer that offers individual health insurance coverage in the individual market in this state shall provide guaranteed availability of coverage to an eligible individual who desires to enroll in individual health insurance coverage. Must disclose certain information about premiums …
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Ariz. Rev. Stat. § 31-165. Inmate medical services; rate structure: Inmate Health Care – Arizona
Status: Enacted Year Enacted: 2011
If an inmate in a county jail or a person who, but for the circumstances, would otherwise be treated in the county jail requires health care services that the county jail cannot provide, the county …
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Ariz. Rev. Stat. § 36-210. Expenditures: Arizona State Hospital – Arizona
Status: Enacted Year Enacted: 1970
Establishes payment to providers should a state hospital require a healthcare service that they cannot provide.
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Ariz. Rev. Stat. § 36-2903.01. Additional powers and duties; report; definition: Arizona Health Care Cost Containment System – Arizona
Status: Enacted Year Enacted: 2016
Outlines the reimbursement requirements for hospitals.
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Ariz. Rev. Stat. § 41-1608. Inmate medical services; rate structure: Organization of State Department of Corrections – Arizona
Status: Enacted Year Enacted: 2009
If a prisoner in a secure care facility requires health care services that the department, the facility or a private prison provider contracted by the department cannot provide, the department shall pay approved claims from …
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Ariz. Rev. Stat. § 8-142.01. Adoption subsidy program; hospital reimbursement: Adoption Subsidies – Arizona
Status: Enacted Year Enacted: 1992
Notwithstanding § 8-144, subsection B, for inpatient hospital admissions and outpatient hospital services on or after March 1, 1993, the department shall reimburse a hospital for adoption expenses according to the rates established by the …
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Ark. Code § 23-76-114. Information to enrollees: Health Maintenance Organizations – Arkansas
Status: Enacted Year Enacted: 1975
A health maintenance organization shall make available to its subscribers a list of providers upon enrollment and re-enrollment. Every health maintenance organization shall provide within thirty (30) days to its subscribers a notice of any …
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Ark. Code § 23-76-130. Director of the Department of Health’s authority to contract: Health Maintenance Organizations – Arkansas
Status: Enacted Year Enacted: 1975
The Insurance Commissioner may contract with qualified persons to make recommendations concerning the adequacy, network adequacy, or accessibility of healthcare services under a healthcare plan furnished or proposed to be furnished by a health maintenance …
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Ark. Code § 23-76-132. College students: Health Maintenance Organizations – Arkansas
Status: Enacted Year Enacted: 2001
If a health maintenance organization requires the selection or assignment of a primary care physician, the health maintenance organization shall provide an enrollee who is a student enrolled at a postsecondary institution certain options
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Ark. Code § 23-99-413. Disclosure requirements: Arkansas Health Care Consumer Act – Arkansas
Status: Enacted Year Enacted: 1997
Upon request, healthcare insurers must provide the following information in a clear and understandable form to all prospective policyholders, policyholders, and covered persons: Coverage provisions, benefits, and exclusions by category of service and provider; A …
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Ark. Code §§ 23-86-401 through 23-86-406: Freedom of Choice Among Health Benefit Plans Act of 1999 – Arkansas
Status: Enacted Year Enacted: 1999
In order to provide affordable delivery of health care services, health benefit plans which utilize contractual arrangements with providers and encourage quality services at discounted prices should be promoted and citizens should have the option …
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Ark. Code §§ 23-99-401 through 23-99-416: Healthcare Providers — Arkansas Health Care Consumer Act – Arkansas
Status: Enacted Year Enacted: 1997
As the state’s insurance sector becomes increasingly dominated by managed care features that include decisions regarding coverage and appropriateness of health care, there is a vital need to protect patients in this environment.
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Cal. Health & Safety Code §§ 1374.60 through 1374.76: Knox-Keene Health Care Service Plan Act of 1975 — Point-of-Service Health Care Service Plan Contracts – California
Status: Enacted Year Enacted: 1993
For purpose of point-of-service health care Service plan contracts, the definitions as specified shall apply. A point-of-service plan contract, in which any risk for out-of-network coverage or services is transferred from a health care service …
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