641.255 – Acquisition, merger, or consolidation.
641.255 Acquisition, merger, or consolidation.— (1) Every acquisition of a health maintenance organization shall be subject to the provisions of s. 628.4615. However, in the case of a health maintenance organization organized as a for-profit corporation, the provisions of s. 628.451 govern with respect to any merger or consolidation; and, in the case of a health maintenance […]
641.26 – Annual and quarterly reports.
641.26 Annual and quarterly reports.— (1) Every health maintenance organization shall, annually within 3 months after the end of its fiscal year, or within an extension of time therefor as the office, for good cause, may grant, in a form prescribed by the commission, file a report with the office, verified by the oath of two officers […]
641.261 – Other reporting requirements.
641.261 Other reporting requirements.— (1) Each authorized health maintenance organization shall provide records and information to the Agency for Health Care Administration pursuant to s. 409.910(20) and (21) for the sole purpose of identifying potential coverage for claims filed with the agency and its fiscal agents for payment of medical services under the Medicaid program. (2) Any information […]
641.27 – Examination by the department.
641.27 Examination by the department.— (1) The office shall examine the affairs, transactions, accounts, business records, and assets of any health maintenance organization as often as it deems it expedient for the protection of the people of this state, but not less frequently than once every 5 years. However, except when the medical records are requested and […]
641.28 – Civil remedy.
641.28 Civil remedy.—In any civil action brought to enforce the terms and conditions of a health maintenance organization contract, the prevailing party is entitled to recover reasonable attorney’s fees and court costs. This section shall not be construed to authorize a civil action against the commission, office, or department, their employees, or the Chief Financial Officer […]
641.217 – Minority recruitment and retention plans required.
641.217 Minority recruitment and retention plans required.— (1) Any entity contracting with the Agency for Health Care Administration to provide health care services to Medicaid recipients or state employees on a prepaid or fixed-sum basis must submit to the Agency for Health Care Administration the entity’s plan for recruitment and retention of health care practitioners who are […]
641.22 – Issuance of certificate of authority.
641.22 Issuance of certificate of authority.—The office shall issue a certificate of authority to any entity filing a completed application in conformity with s. 641.21, upon payment of the prescribed fees and upon the office’s being satisfied that: (1) As a condition precedent to the issuance of any certificate, the entity has obtained a health care provider […]
641.17 – Short title.
641.17 Short title.—This part shall be known and may be cited as the “Health Maintenance Organization Act.” History.—s. 1, ch. 72-264; s. 3, ch. 76-168; s. 1, ch. 77-457; ss. 2, 3, ch. 81-318; ss. 778, 804, 809(1st), ch. 82-243; ss. 187, 188, ch. 91-108; s. 4, ch. 91-429.
641.221 – Continued eligibility for certificate of authority.
641.221 Continued eligibility for certificate of authority.— (1) In order to maintain its eligibility for a certificate of authority, a health maintenance organization shall continue to meet all conditions required to be met under this part and the rules promulgated thereunder for the initial application for and issuance of its certificate of authority under s. 641.22. (2) In […]
641.18 – Declaration of legislative intent, findings, and purposes.
641.18 Declaration of legislative intent, findings, and purposes.— (1) Faced with the continuation of mounting costs of health care, coupled with the state’s interest in high-quality care, the Legislature has determined that there is a need to explore alternative methods for the delivery of health care services, with a view toward achieving greater efficiency and economy in […]