§ 83-41-401. Short title
This article shall be known and may be cited as the “Patient Protection Act of 1995.”
§ 83-41-403. Definitions
As used in this article: “Department” means the Mississippi Department of Insurance. “Managed care plan” means a plan operated by a managed care entity as described in subparagraph (c) that provides for the financing and delivery of health care services to persons enrolled in such plan through: Arrangements with selected providers to furnish health care […]
§ 83-41-405. Requirement of certification of managed care plans offered or provided to persons residing in Mississippi; termination of plans
The department shall establish a process for the certification of managed care plans offered or provided to persons residing in Mississippi. No such plan shall be offered or provided to persons residing in this state unless it has been certified by the department. Any managed care plan certified by the department must be recertified annually, […]
§ 83-41-407. Fees
The department shall establish a fee to cover the costs of issuing and renewing the certifications authorized by this article and the fees shall be used solely for the administration of this article.
§ 83-41-409. Conditions for certification or recertification
In order to be certified and recertified under this article, a managed care plan shall: Provide enrollees or other applicants with written information on the terms and conditions of coverage in easily understandable language including, but not limited to, information on the following: Coverage provisions, benefits, limitations, exclusions and restrictions on the use of any […]
§ 83-41-411. Compliance with article by health maintenance organizations
Health maintenance organizations must comply with the certification requirements in this article in addition to such other laws as might relate thereto.
§ 83-41-413. Regulations
The department shall adopt regulations to implement the provisions of this article and may obtain any information from managed care plans that is necessary to determine if such plan should be certified or recertified.
§ 83-41-415. Applicability of Articles 7 and 9 to Division of Medicaid in Office of Governor
Articles 7 and 9 do not apply to the Division of Medicaid in the Office of the Governor.
§ 83-41-417. Geographic areas served; opportunity to apply for participation
A health maintenance organization as defined in Section 83-41-303, and a managed care entity as defined in Section 83-41-403, shall establish procedures to give interested health care providers located in the geographic area served an opportunity to apply for participation.