Fla. Stat. §§ 381.026 & 381.0261: Florida Patient’s Bill of Rights and Responsibilities – Florida
Status: Enacted Year Enacted: 1991
Identifies standards for health care facilities or providers, including those related to financial information and disclosure. A primary care provider may publish a schedule of charges for the medical services that the provider offers to …
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Fla. Stat. §§ 400.990 through 400.995: Health Care Clinic Act – Florida
Status: Enacted Year Enacted: 2003
Requires a clinic medical director to ensure the clinic publishes a schedule of charges for medical services offered to patients.
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Fla. Stat. §§ 409.9121, 9122 through 9124: Medicaid – Florida
Status: Enacted Year Enacted: 1993
Provides requirements for managed care program under Medicaid, including data collection; accounting; information system; medical loss ratio, quality-of-care reporting, and reimbursement. Provides that in order to promote competition between Medicaid managed care plans and MediPass …
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Fla. Stat. §§ 627.6471 through 627.64731: Health Insurance Policies – Florida
Status: Enacted Year Enacted: 1991
Describes requirements for insurance companies related to listing preferred providers, and coinsurance and deductible amounts.
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Fla. Stat. §§ 627.671 through 627.675: Medicare Supplement Policies – Florida
Status: Enacted Year Enacted: 1980
Provides requirements for individual, group, blanket, or franchise health insurance policy to be delivered as a Medicare supplement policy. Provides minimum standards, filing requirements, loss ratio standards, and rate heraings.
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Fla. Stat. §§ 641.17 through 641.2011: Health Maintenance Organization Act – Florida
Status: Enacted Year Enacted: 1985
Health maintenance organizations, consisting of prepaid health care plans are developing rapidly in many communities. Through these organizations, structured in various forms, health care services are provided directly to a group of people who make …
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Fla. Stat. §§ 641.41 & 614.418: Prepaid Health Clinic Act – Florida
Status: Enacted Year Enacted: 1984
Each prepaid health clinic shall file a report with the office, annually on or before March 1, or within 3 months of the end of the reporting period of the clinic, including such statistical information …
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Ga. Code Ann. § 31-7-11. Written summary of hospital service charge rates: Regulation of Hospitals and Related Institutions – Georgia
Status: Enacted Year Enacted: 1983
Requires written summary of hospital service charge rates.
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Ga. Code Ann. § 33-20A-3. Definitions: Patient Protection Act of 1996 – Georgia
Status: Enacted Year Enacted: 1996
Definitions for the Patient Protection Act of 1996 (sections 33-20A-1 through 33-20A-10).
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Ga. Code Ann. § 33-20A-5. Standards for certification of managed health care plans: Patient Protection Act of 1996 – Georgia
Status: Enacted Year Enacted: 1996
Establishes standards for the certification of qualified managed care plans that conduct business in this state, such as disclosing to enrollees their financial obligations, the number, mix, and distribution of participating providers, and limitations on …
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Ga. Code Ann. § 33-20A-9.1. Legislative intent; consumer choice option; provisions; increased expenses; covered benefits; forms: Patient Protection Act of 1996 – Georgia
Status: Enacted Year Enacted: 1999
Except for managed care plans offering a consumer choice option under subparagraph (d)(2)(C) of this Code section, every managed care plan offered by a managed care entity shall offer a separate consumer choice option to …
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Ga. Code Ann. § 33-21-1. Definitions: Health Maintenance Organizations – Georgia
Status: Enacted Year Enacted: 1979
Definitions relate to health maintenance organizations (sections 33-21-1 through 33-21-29).
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Ga. Code Ann. § 33-21-13. Evidence of coverage; filing and approval of basic rates and method of computation of coverage: Health Maintenance Organizations – Georgia
Status: Enacted Year Enacted: 1979
Enrollees will be provided rules regarding copayments, prior authorization, or review requirements; potential liability for cost sharing for out of network services; financial obligations of the enrollee; existence of any limited utilization incentive plans; and existence of limitations …
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Ga. Code Ann. § 33-21-14. Annual information to enrollees: Health Maintenance Organizations – Georgia
Status: Enacted Year Enacted: 1979
Every health maintenance organization shall annually provide to its enrollees a description of services and information as to where and how to secure them. For definitions, see secction 33-21-1.
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Ga. Code Ann. § 33-21-29. Point-of-service option for persons offered health care coverage through health maintenance organization: Health Maintenance Organizations – Georgia
Status: Enacted Year Enacted: 1996
A health maintenance organization may impose different cost-sharing provisions for the point-of-service option based on whether the service is provided through the provider panel of the health maintenance organization or outside the provider panel of …
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Ga. Code Ann. § 33-21A-2. Definitions: Medicaid Care Management Organization Act – Georgia
Status: Enacted Year Enacted: 2008
Definitions relate to Reimbursement of provider and Core management organization payment
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