350 – Short Title.

§ 350. Short title. This article may be known and shall be cited as the “preferred provider organization act”.

351 – Preferred Provider Organizations; Contracts.

§ 351. Preferred provider organizations; contracts. The state insurance fund, any stock corporation, mutual corporation or reciprocal insurer authorized to transact the business of workers’ compensation insurance in this state or self-insurer may contract with a preferred provider organization to deliver all medical services mandated by this chapter, provided such contract takes effect on or […]

352 – Preferred Provider Organizations; Defined.

§ 352. Preferred provider organizations; defined. As used in this article, the term “preferred provider organization” or “P.P.O.” shall mean a plan licensed pursuant to section three hundred fifty-three of this article owned, operated or administered by an entity that provides for the delivery of all services required by this chapter to all persons covered […]

353 – Preferred Provider Organizations; Licensing.

§ 353. Preferred provider organizations; licensing. To be licensed as a preferred provider organization any entity, except any organization which provides limited health care services, shall make an application to the commissioner of health and shall submit therewith an application fee of five hundred dollars. Such application shall be accompanied by the information prescribed in […]

354 – Preferred Provider Organizations; Medical Treatment.

§ 354. Preferred provider organizations; medical treatment. 1. Each preferred provider organization shall provide at least two providers in every medical specialty from which the employee may choose and at least two hospitals from which the employee may choose in the event that hospitalization is necessary. The commissioner of health may waive such numerical requirements […]

355 – Preferred Provider Organizations; Medical Fee Schedules.

§ 355. Preferred provider organizations; medical fee schedules. The medical fee schedules authorized pursuant to section thirteen of this chapter shall not apply to any medical services provided by a preferred provider organization pursuant to the provisions of this article.