Purpose and application of part.
Certification of health maintenance organization and prepaid health clinic as health care providers; application procedure.
Requirements for issuance and maintenance of certificate.
Quality assurance program; second medical opinion requirement.
Subscriber grievance reporting and resolution requirements.
Accreditation and external quality assurance assessment.
Requirements for providing emergency services and care.
Investigation by the agency.
Revocation of certificate; suspension of new enrollment; suspension of the health care provider certificate; administrative fine; notice of action to the office; penalty for use of unlicensed providers.
Subscriber risk assessments; requirements.
Internal risk management program.
Disposition of moneys collected under this part.
Regulatory assessment; levy and amount; use of funds; tax returns; penalty for failure to pay.
Psychotherapeutic services; records and reports.
Statewide Managed Care Ombudsman Committee.
Subscriber satisfaction assessment.
Chronic diseases among subscriber populations.
District managed care ombudsman committees.
District managed care ombudsman committee; exemption from public records requirements; exceptions.
District managed care ombudsman committee; exemption from public meeting requirements.
Agency duties relating to the Statewide Managed Care Ombudsman Committee and the district managed care ombudsman committees.
Immunity from liability; limitation on testimony.