Kentucky Revised Statutes
Subtitle 304.38 - Health Maintenance Organizations
304.38-020 Purpose.

Kentucky Revised Statutes

Subtitle 304.38 - Health Maintenance Organizations

304.38-010 Title.

304.38-020 Purpose.

304.38-030 Definitions for subtitle.

304.38-035 Certificate required for health maintenance organization.

304.38-040 Establishment of health maintenance organizations.

304.38-042 Requirements for provider-sponsored integrated health networks to convert to health maintenance organization.

304.38-050 Evidence of coverages and charges for health care service -- Exception.

304.38-060 Issuance of certificate of authority.

304.38-065 Repealed, 2002.

304.38-070 Requirements for protection against insolvency -- Risk-based capital requirements -- Requirements for health maintenance organizations.

304.38-073 Deposit of cash or securities for performance of obligations to enrollees.

304.38-075 Requirements for transfer of risk to provider -- Additional reserves may be required.

304.38-077 Repealed, 2002.

304.38-080 Information to enrollees.

304.38-090 Annual report.

304.38-095 Application of KRS 304.2-205.

304.38-098 Compliance with KRS 304.18-124 to 304.18-127.

304.38-100 Investments.

304.38-110 Agent of health maintenance organization -- Licensing -- Continuing education -- Appointment.

304.38-120 Financial condition, market conduct, and business practices subject to examination.

304.38-130 Revocation or suspension of certificate of authority.

304.38-140 Rehabilitation, liquidation, or conservation of health maintenance organization.

304.38-150 Rules and regulations.

304.38-160 Repealed, 1982.

304.38-170 Public documents -- Statutory construction.

304.38-180 Prohibited practices.

304.38-185 Coordination of benefits.

304.38-190 Powers of insurers.

304.38-191 Conversion and continuation rights upon termination of group coverage.

304.38-192 Repealed, 1986.

304.38-193 Coverage for treatment for mental illness.

304.38-1933 Coverage for services of licensed psychologist or licensed clinical social worker.

304.38-1934 Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing -- Duties of health maintenance organization.

304.38-1935 Coverage for mammograms.

304.38-1936 Coverage for treatment of breast cancer.

304.38-1937 Coverage for treatment of temporomandibular joint disorders and craniomandibular jaw disorders.

304.38-194 Pooling of claims experience required.

304.38-195 Policy covering services performed by dentist deemed to cover such services performed by physician.

304.38-1955 Construction of provisions for services by licensed optometrist or licensed ophthalmic dispenser to include same services from licensed physician.

304.38-196 Indemnity payable for services performed by chiropractors, physicians, osteopaths, or podiatrists.

304.38-197 Coverage for treatment of alcoholism.

304.38-198 Optional nursery care coverage for a well newly born child.

304.38-199 Coverage for newly-born child.

304.38-200 Application of other subtitles.

304.38-205 Medicare supplement coverage for persons not eligible for Medicare by reason of age.

304.38-210 Health maintenance organizations as insurers to offer home health care coverage -- Conditions.

304.38-220 Long-term health care benefits.

304.38-225 Requirements for health maintenance organization that provides hospital benefits coverage and requires utilization review of benefits.

304.38-230 Funding of benefits by employer or group contract holder.

304.38-240 Solicitation of proposals designating medical necessity criteria for Medicaid managed care organizations -- Administrative regulation.

304.38-500 Repealed, 2002.

304.38-505 Repealed, 2002.

304.38-510 Repealed, 2002.