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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 10. Department of Health |
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Chapter II. Administrative Rules and Regulations |
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Subchapter R. Health Maintenance Organizations |
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Part 98. Health Maintenance Organizations |
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Subpart 98-1. Managed Care Organizations |
| 10 CRR-NY II R 98-1 Notes |
| Sec. 98-1.1. Applicability |
| Sec. 98-1.2. Definitions |
| Sec. 98-1.3. Reserved |
| Sec. 98-1.4. Certificate of incorporation or articles of organization |
| Sec. 98-1.5. Application for a certificate of authority |
| Sec. 98-1.6. Issuance of a certificate of authority |
| Sec. 98-1.7. Limitations of a certificate of authority |
| Sec. 98-1.8. Continuance of a certificate of authority |
| Sec. 98-1.9. Acquisition or retention of control of MCOs |
| Sec. 98-1.10. Transactions within a holding company system affecting controlled MCOs |
| Sec. 98-1.11. Operational and financial requirements for MCOs |
| Sec. 98-1.12. Quality management program |
| Sec. 98-1.13. Assurance of access to care |
| Sec. 98-1.14. Enrollee services and grievance procedures |
| Sec. 98-1.15. Employer requirements |
| Sec. 98-1.16. Disclosure and filing |
| Sec. 98-1.17. Audits and examinations |
| Sec. 98-1.18. Relationship between an MCO and an IPA |
| Sec. 98-1.19. Marketing by MLTCPs |
| Sec. 98-1.20. Waved requirements for MLTCPs |
| Sec. 98-1.21. Fraud and abuse prevention plans and special investigation units |
| Sec. 98-1.22. Warning statements |