641.57 – Disposition of moneys collected under this part.
641.57 Disposition of moneys collected under this part.—Fees, administrative penalties, examination expenses, and other sums collected by the Agency for Health Care Administration under this part shall be deposited to the credit of the Health Care Trust Fund to be administered by the agency and shall be used to defray the expenses of the agency in […]
641.58 – Regulatory assessment; levy and amount; use of funds; tax returns; penalty for failure to pay.
641.58 Regulatory assessment; levy and amount; use of funds; tax returns; penalty for failure to pay.— (1) In addition to any other license or excise tax now or hereafter imposed, and such taxes as may be imposed under other statutes, there is hereby assessed and imposed upon every organization authorized to engage in business in this state, […]
641.59 – Psychotherapeutic services; records and reports.
641.59 Psychotherapeutic services; records and reports.—A health maintenance organization or prepaid health clinic, as defined in this chapter, must maintain strict confidentiality against unauthorized or inadvertent disclosure of confidential information to persons inside or outside the health maintenance organization or prepaid health clinic regarding psychotherapeutic services provided to subscribers by psychotherapists licensed under chapter 490 or […]
641.61 – Subscriber satisfaction assessment.
641.61 Subscriber satisfaction assessment.—Each organization must establish systems for: (1) Assessing subscriber satisfaction with providers, particularly primary care physicians; (2) Sharing subscriber-satisfaction indicators and scores with providers; (3) Publicly acknowledging providers with high positive subscriber-satisfaction scores; (4) Addressing behaviors of providers with low subscriber-satisfaction scores; and (5) Assessing subscriber access and physician availability. History.—s. 41, ch. 96-199.
641.62 – Chronic diseases among subscriber populations.
641.62 Chronic diseases among subscriber populations.—Each organization must: (1) Annually study its subscriber population to determine the most prevalent chronic diseases of its subscribers, design intervention strategies to reduce the morbidities and mortalities associated with at least two prevalent chronic diseases, measure the outcomes of the interventions implemented, and modify the interventions, if necessary, to improve their […]
641.514 – Coverage for air ambulance services.
1641.514 Coverage for air ambulance services.— (1) As used in this section, the term: (a) “Air ambulance service” has the same meaning as provided in s. 401.23. (b) “Health maintenance organization” has the same meaning as provided in s. 641.19(12). (c) “Reasonable reimbursement” means reimbursement that considers the direct cost to provide the air ambulance transportation service to the subscriber, […]
641.515 – Investigation by the agency.
641.515 Investigation by the agency.— (1) The agency shall investigate further any quality of care issue contained in recommendations and reports submitted pursuant to s. 641.511. The agency shall also investigate further any information that indicates that the organization does not meet accreditation standards or the standards of the review organization performing the external quality assurance assessment […]
641.52 – Revocation of certificate; suspension of new enrollment; suspension of the health care provider certificate; administrative fine; notice of action to the office; penalty for use of unlicensed providers.
641.52 Revocation of certificate; suspension of new enrollment; suspension of the health care provider certificate; administrative fine; notice of action to the office; penalty for use of unlicensed providers.— (1) The agency may suspend the authority of an organization to enroll new subscribers or revoke the health care provider certificate of any organization, or order compliance within […]
641.54 – Information disclosure.
641.54 Information disclosure.— (1) Every health maintenance organization shall maintain a current list, by geographic area, of all hospitals which are routinely and regularly used by the organization, indicating to which hospitals the organization may refer particular subscribers for nonemergency services. The list shall also include all physicians under the organization’s direct employ or who are under […]
641.545 – Subscriber risk assessments; requirements.
641.545 Subscriber risk assessments; requirements.—The agency shall require an organization, when providing services to Medicaid subscribers, to attempt, at least twice if necessary, to contact each new Medicaid subscriber within 3 months after the Medicaid subscriber enrolls, in order to perform a health risk assessment. The health risk assessment instrument must include questions regarding early and […]