41-3916. ADVISORY PANELS. Every managed care organization shall establish a mechanism to provide members an opportunity to participate in matters of policy and operation through the establishment of advisory panels, by the use of advisory referenda on major policy decisions, or through the use of other reasonable mechanisms. As a minimum, such an advisory panel shall be required to review and comment upon any proposed changes to: (a) the managed care plan’s grievance procedures, and (b) nongroup member benefit packages and prepayments, prior to implementation of such policy. The substance of such comments shall be distributed to the affected members at the time notification of such policy changes are made.
History:
[41-3916, added 1974, ch. 177, sec. 16, p. 1444; am. 1978, ch. 361, sec. 1, p. 948; am. 1997, ch. 204, sec. 18, p. 593.]
Structure Idaho Code
Chapter 39 - MANAGED CARE REFORM
Section 41-3901 - SHORT TITLE.
Section 41-3902 - INTENT AND PURPOSE.
Section 41-3903 - DEFINITIONS.
Section 41-3905 - QUALIFICATIONS FOR CERTIFICATE OF AUTHORITY.
Section 41-3906 - APPLICATION FOR CERTIFICATE OF AUTHORITY.
Section 41-3910 - REPORTS TO THE DIRECTOR.
Section 41-3911 - EXAMINATIONS.
Section 41-3912 - SUSPENSION OR REVOCATION OF CERTIFICATE OF AUTHORITY.
Section 41-3914 - ANNUAL DISCLOSURES.
Section 41-3915 - HEALTH CARE CONTRACTS.
Section 41-3916 - ADVISORY PANELS.
Section 41-3917 - CERTAIN WORDS PROHIBITED IN NAME OF ORGANIZATION.
Section 41-3918 - GRIEVANCE SYSTEM.
Section 41-3919 - OPEN ENROLLMENT.
Section 41-3921 - STATUTORY CONSTRUCTION AND RELATIONSHIP TO OTHER LAWS.
Section 41-3922 - TAXATION — PENALTY FOR FAILURE TO FILE.
Section 41-3924 - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.
Section 41-3925 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.
Section 41-3926 - MAMMOGRAPHY COVERAGE.
Section 41-3928 - INCENTIVES TO WITHHOLD CARE PROHIBITED.
Section 41-3930 - UTILIZATION MANAGEMENT PROGRAM REQUIREMENTS.
Section 41-3931 - PARTICIPATION IN IDAHO LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION.