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641.47 - Definitions. - (1) “Adverse determination” means a coverage determination by an organization...
641.48 - Purpose and application of part. - History.—ss. 21, 27, ch. 87-236; ss. 187, 188, ch. 91-108;...
641.49 - Certification of health maintenance organization and prepaid health clinic as health care providers; application procedure. - (1) No person or governmental unit shall establish, conduct, or...
641.495 - Requirements for issuance and maintenance of certificate. - (1) The agency shall issue a health care provider certificate...
641.51 - Quality assurance program; second medical opinion requirement. - (1) The organization shall ensure that the health care services...
641.511 - Subscriber grievance reporting and resolution requirements. - (1) Every organization must have a grievance procedure available to...
641.512 - Accreditation and external quality assurance assessment. - (1)(a) To promote the quality of health care services provided...
641.513 - Requirements for providing emergency services and care. - (1) In providing for emergency services and care as a...
641.514 - Coverage for air ambulance services. - (1) As used in this section, the term: (a) “Air...
641.515 - Investigation by the agency. - (1) The agency shall investigate further any quality of care...
641.52 - Revocation of certificate; suspension of new enrollment; suspension of the health care provider certificate; administrative fine; notice of action to the office; penalty for use of unlicensed providers. - (1) The agency may suspend the authority of an organization...
641.54 - Information disclosure. - (1) Every health maintenance organization shall maintain a current list,...
641.545 - Subscriber risk assessments; requirements. - History.—s. 36, ch. 96-199.
641.55 - Internal risk management program. - (1) Every organization certified under this part shall, as a...
641.56 - Rulemaking authority. - History.—ss. 24, 27, ch. 87-236; ss. 187, 188, ch. 91-108;...
641.57 - Disposition of moneys collected under this part. - History.—ss. 25, 27, ch. 87-236; ss. 187, 188, ch. 91-108;...
641.58 - Regulatory assessment; levy and amount; use of funds; tax returns; penalty for failure to pay. - (1) In addition to any other license or excise tax...
641.59 - Psychotherapeutic services; records and reports. - History.—s. 1, ch. 96-180.
641.61 - Subscriber satisfaction assessment. - (1) Assessing subscriber satisfaction with providers, particularly primary care physicians;...
641.62 - Chronic diseases among subscriber populations. - (1) Annually study its subscriber population to determine the most...