Kentucky Revised Statutes
Subtitle 304.17C - Limited Health Service Benefit Plans
304.17C-050 Standards for providers -- Mechanism for acting upon applications -- Policy governing removal of providers from network.

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Structure Kentucky Revised Statutes

Kentucky Revised Statutes

Subtitle 304.17C - Limited Health Service Benefit Plans

304.17C-010 Definitions for subtitle.

304.17C-020 Discrimination prohibited against willing provider located in area.

304.17C-030 Disclosure.

304.17C-040 Availability of provider network.

304.17C-050 Standards for providers -- Mechanism for acting upon applications -- Policy governing removal of providers from network.

304.17C-060 Filing of agreements -- Provisions of agreements -- Procedures for changing agreement -- Filing of risk-sharing arrangements and subcontracts -- Availability of information.

304.17C-070 Prohibition of contract to limit disclosure to enrollee -- Actions for which provider may not be penalized -- Disclosure of arrangements between plan and providers.

304.17C-080 Plan for selection and reevaluation of providers.

304.17C-085 Definitions for section -- Set fees for noncovered services in participating provider agreement prohibited -- Provider charges limited to provider's rate for services and materials -- Contractual discount for covered services -- Reimburse...

304.17C-090 Payment of claims of dental-only benefits -- Reports -- Interest.

304.17C-100 Payment for coverage of services within scope of practice of optometrists.

304.17C-110 Limitation on amount of copayment or coinsurance charged for services rendered by chiropractor or optometrist.

304.17C-120 Prescription eye drops coverage to include refills and additional bottle if conditions met.

304.17C-130 Definitions for KRS 304.17C-130 to 304.17C-138.

304.17C-132 Definitions for section -- Third party access to provider network contract -- Prohibition against dental carrier contract cancellation.

304.17C-134 Conditions for dental benefit plan denial of claims requiring prior authorization.

304.17C-136 Definitions for section -- Prohibition against payment method restrictions for dental benefit plan -- Electronic fund transfer payments.

304.17C-138 Prohibition of contractual waiver of KRS 304.17C-130 to 304.17C-138.