This chapter shall be known and may be cited as the “Essential Rural Health Care Provider Access Act.” History. Code 1981, § 33-20B-1 , enacted by Ga. L. 1998, p. 900, § 2. Law reviews. For review of 1998 legislation relating to insurance, see 15 Ga. St. U. L. Rev. 143 (1998).
As used in this chapter, the term: “Essential rural health care provider” means any hospital, federally qualified health center, or rural health clinic, as such terms are defined in this Code section, which is located in a rural area and which complies with the provisions of Code Section 33-20B-3. “Federally qualified health center” means, for […]
Any essential rural health care provider shall have the opportunity to become a participating provider of health care services in a health benefit plan if such provider meets all of the following conditions: Participates in the medicare and Medicaid programs; Adopts and complies with a policy for the provision of health care services to indigent […]
When reviewing a health maintenance organization’s request to originate or expand an area of service into a rural area, the commissioner of community health shall consider whether the health maintenance organization has demonstrated its willingness to grant reasonable consideration to essential rural health care providers in the negotiating and contracting process. History. Code 1981, § […]
To deny, reject, or terminate an essential rural health care provider from serving as a participating provider in a health benefit plan, the health care insurer shall: Inform the essential rural health care provider in writing of the basis for such rejection or termination, including a reference to any specific qualification or standard established by […]
Any essential rural health care provider which is denied, rejected, or terminated from serving as a participating provider in a health benefit plan shall have the right of hearing and appeal before the Commissioner, or his or her designee, if that provider believes there has been a violation of this chapter and of judicial appeal […]
The administration of this chapter shall be through the Commissioner of Insurance. History. Code 1981, § 33-20B-6 , enacted by Ga. L. 1998, p. 900, § 2.
