641.2018 – Limited coverage for home health care authorized.
641.2018 Limited coverage for home health care authorized.— (1) Notwithstanding other provisions of this chapter, a health maintenance organization may issue a contract that limits coverage to home health care services only. The organization and the contract shall be subject to all of the requirements of this part that do not require or otherwise apply to specific […]
641.20185 – High-deductible contracts for medical savings accounts.
641.20185 High-deductible contracts for medical savings accounts.—Notwithstanding the provisions of this part and part III related to the requirement for providing comprehensive coverage, a health maintenance organization may offer a high-deductible contract to employers that establish medical savings accounts, as defined in s. 220(d) of the Internal Revenue Code. History.—s. 22, ch. 97-179; s. 52, ch. […]
641.2019 – Provider service network certificate of authority.
641.2019 Provider service network certificate of authority.—A prepaid provider service network that applies for and obtains a health care provider certificate pursuant to part III of this chapter, meets the surplus requirements of s. 641.225, and meets all other applicable requirements of this part may obtain a certificate of authority under s. 641.21. A certified provider […]
641.21 – Application for certificate.
641.21 Application for certificate.— (1) Before any entity may operate a health maintenance organization, it shall obtain a certificate of authority from the office. The office shall accept and shall begin its review of an application for a certificate of authority anytime after an organization has filed an application for a health care provider certificate pursuant to […]
641.215 – Conditions precedent to issuance or maintenance of certificate of authority; effect of bankruptcy proceedings.
641.215 Conditions precedent to issuance or maintenance of certificate of authority; effect of bankruptcy proceedings.— (1) As a condition precedent to the issuance or maintenance of a certificate of authority, a health maintenance organization insurer must file or have on file with the office: (a) An acknowledgment that a delinquency proceeding pursuant to part I of chapter 631, […]
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 […]