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  • ARTICLE 43-B
    Organ Procurement and Donor Support
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  • CHAPTER 45
    Public Health
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  • ARTICLE 45
    Medical Referral Services
    • This entry was published on 2023-07-07
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    ARTICLE 44

    Health Maintenance Organizations

    Public Health (PBH) CHAPTER 45

    ARTICLE 44

    HEALTH MAINTENANCE ORGANIZATIONS
    Section 4400. Statement of policy and purposes.

    4401. Definitions.

    4402. Health maintenance organizations; application for

    certificate of authority.

    4403. Health maintenance organizations; issuance of

    certificate of authority.

    4403-a. Special purpose certificate of authority.

    4403-b. Development of comprehensive health services plans.

    4403-c. Comprehensive HIV special needs plan certification.

    4403-d. Special needs managed care plans.

    4403-e. Primary care partial capitation providers; partial

    capitation certificate of authority.

    4403-f. Managed long term care plans.

    4403-g. Developmental disability individual support and care

    coordination organizations.

    4404. Health maintenance organizations; continuance of

    certificate of authority.

    4405. Health maintenance organizations; powers.

    4405-a. Immunizations against poliomyelitis, mumps, measles,

    diphtheria and rubella.

    4405-b. Duty to report.

    4406. Health maintenance organizations; regulation of

    contracts.

    4406-a. Arbitration provisions of health maintenance

    organization contracts.

    4406-b. Primary and preventive obstetric and gynecologic care.

    4406-c. Prohibitions.

    4406-d. Health care professional applications and

    terminations.

    4406-e. Access to end of life care.

    4406-f. Maternal depression screenings.

    4406-g. Telehealth delivery of services.

    4406-h. Health care facility applications.

    4406-i. Utilization review determinations for medically

    fragile children.

    4407. Health maintenance organizations; employer

    requirements.

    4408. Disclosure of information.

    4408-a. Integrated delivery systems.

    4408-a*2. Grievance procedure.

    4409. Health maintenance organizations; examinations.

    4410. Health maintenance organizations; professional

    services.

    4411. Construction.

    4412. Separability.

    4413. Savings clause.

    4414. Health care compliance programs.

    4416. Excess reserves of certain health maintenance

    organizations.