Mo. Rev. Stat. § 354.560. Payment arrangements, department to adopt rules – disclosure of financial agreements – confidentiality: Community-Based Health Maintenance Organizations – Missouri
Status: EnactedYear Enacted: 1997
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1. The director of the department of insurance, financial institutions and professional registration shall adopt rules governing the use of payment arrangements by community-based health maintenance organizations which use payment withholding arrangements that place a physician at substantial financial risk. The standards for determining substantial financial risk and determining which payment arrangements are subject to rules shall be the same as provided for health maintenance organizations and competitive medical plans contracting with the Medicare program, as provided in 42 CFR 417.479, or its successor regulation.
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