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4400 - Statement of Policy and Purposes. - § 4400. Statement of policy and purposes. Encouraging the expansion...
4401 - Definitions. - § 4401. Definitions. For the purpose of this article: 1....
4402 - Health Maintenance Organizations; Application for Certificate of Authority. - (a) a copy of each of the basic organizational documents...
4403 - Health Maintenance Organizations; Issuance of Certificate of Authority. - (a) it has defined a proposed enrolled population to which...
4403-A - Special Purpose Certificate of Authority. - (b) No contract for the provision of comprehensive health services...
4403-B - Development of Comprehensive Health Services Plans. - * § 4403-b. Development of comprehensive health services plans. The...
4403-C - Comprehensive HIV Special Needs Plan Certification. - (a) a copy of the applicant's basic organizational documents and...
4403-D - Special Needs Managed Care Plans. - § 4403-d. Special needs managed care plans. No person, group...
4403-E - Primary Care Partial Capitation Providers; Partial Capitation Certificate of Authority. - (a) current licensure or certification; (b) a description of the...
4403-F - Managed Long Term Care Plans. - (a) "Managed long term care plan" means an entity that...
4403-G - Developmental Disabilty Individual Support and Care Coordination Organizations. - (a) "Developmental disability individual support and care coordination organization" or...
4404 - Health Maintenance Organizations; Continuance of Certificate of Authority. - § 4404. Health maintenance organizations; continuance of certificate of authority....
4405 - Health Maintenance Organizations; Powers. - § 4405. Health maintenance organizations; powers. The powers of health...
4405-A - Immunizations Against Poliomyelitis, Mumps, Measles, Diphtheria and Rubella. - § 4405-a. Immunizations against poliomyelitis, mumps, measles, diphtheria and rubella....
4405-B - Duty to Report. - (b) An organization shall make a report to be made...
4406 - Health Maintenance Organizations; Regulation of Contracts. - (i) the requirements of this article and any regulations promulgated...
4406-A - Arbitration Provisions of Health Maintenance Organization Contracts. - § 4406-a. Arbitration provisions of health maintenance organization contracts. 1....
4406-B - Primary and Preventive Obstetric and Gynecologic Care. - § 4406-b. Primary and preventive obstetric and gynecologic care. 1....
4406-C - Prohibitions. - (a) a condition or a course of treatment with an...
4406-D - Health Care Professional Applications and Terminations. - (b) If the completed application of a newly-licensed health care...
4406-E - Access to End of Life Care. - § 4406-e. Access to end of life care. 1. For...
4406-F - Maternal Depression Screenings. - § 4406-f. Maternal depression screenings. To the extent a plan...
4406-G - Telehealth Delivery of Services. - § 4406-g. Telehealth delivery of services. 1. A health maintenance...
4406-H - Health Care Facility Applications. - § 4406-h. Health care facility applications. 1. A health care...
4406-I - Utilization Review Determinations for Medically Fragile Children. - (a) Consider as medically necessary all covered services that assist...
4407 - Health Maintenance Organizations; Employer Requirements. - (i) one or more of such organizations provides more than...
4408 - Disclosure of Information. - (a) a description of coverage provisions; health care benefits; benefit...
4408-A - Integrated Delivery Systems. - (a) "Applicant" means a separate legal entity created for the...
4408-A*2 - Grievance Procedure. - (b) The notice to an enrollee describing the grievance process...
4409 - Health Maintenance Organizations; Examinations. - (b) The department is authorized to address to any health...
4410 - Health Maintenance Organizations; Professional Services. - (b) The commissioner may only obtain enrollee information subject to...
4411 - Construction. - § 4411. Construction. The provisions of laws other than this...
4412 - Separability. - § 4412. Separability. If any clause, sentence, paragraph, subdivision, section...
4413 - Savings Clause. - § 4413. Savings clause. Nothing contained in this article or...
4414 - Health Care Compliance Programs. - § 4414. Health care compliance programs. 1. The commissioner, after...
4416 - Excess Reserves of Certain Health Maintenance Organizations. - * § 4416. Excess reserves of certain health maintenance organizations....