§ 33-21A-11. Hospital Statistical and Reimbursement Reports From Care Management Organizations; Penalty
Upon request by a hospital provider related to a specific fiscal year, a care management organization shall, within 30 days of the request, provide that hospital with an HS&R report for the requested fiscal year. Any care management organization which violates this Code section by not providing the requested report within 30 days shall be […]
§ 33-21A-12. Federal Law, Rule and Regulations Control
To the extent any provision in this chapter is inconsistent with applicable federal law, rule, or regulation, the applicable federal law, rule, or regulation shall govern. History. Code 1981, § 33-21A-12 , enacted by Ga. L. 2008, p. 704, § 1/HB 1234.
§ 33-21A-13. Coverage for Mental Health and Substance Abuse Disorders; Role of Commissioner of Community Health; Parity Violations
As used in this Code section, the term: “Addictive disease” has the same meaning as in Code Section 37-1-1. “Generally accepted standards of mental health or substance use disorder care” means evidence based independent standards of care and clinical practice that are generally recognized by health care providers practicing in relevant clinical specialties such as […]
§ 33-21A-14. Minimum Medical Loss Ratio Standard; Remittance Directions; Required Website Information
The intent of this Code section is to implement the state option in subdivision (j) of 42 C.F.R. Section 438.8. As used in this Code section, the term “medical loss ratio reporting year” or “MLR reporting year” shall have the same meaning as that term is defined in 42 C.F.R. Section 438.8. Beginning July 1, […]