Rule 120-2-92-.03 - Certification Pursuant to Accreditation by a National Accrediting Organization(1) A health maintenance organization seeking certification for purposes of O.C.G.A. § 33-21-3(b.1) through proof of accreditation by a national accreditation organization shall: (a) Submit to the Commissioner a copy of the certificate of provisional or final accreditation issued by a national accreditation agency qualified under this regulation; and(b) Submit evidence that its services are reasonably available and accessible in its service area or proposed service area according to its written standards for establishing and measuring appropriate member access to health care services.(2) For purposes of subparagraph (1)(a) of this section, a health maintenance organization may submit proof of accreditation of a company with which it is formally affiliated, provided that the affiliated company supervises or performs the services for the Georgia health maintenance organization using the same standards and procedures for which it has received accreditation by an Approved Accrediting Organization.Ga. Comp. R. & Regs. R. 120-2-92-.03
O.C.G.A. Secs. 33-2-9, 33-21-3, 33-21-18.
Original Rule entitled "Certification Pursuant to Accreditation by a National Accrediting Organization" adopted as ER. 120-2-92-0.13-.03. F. Oct. 4, 2004; eff. Aug. 3, 2004, the date of adoption.Amended: ER. 120-2-92-0.14-.03 of same title adopted. F. Nov. 29, 2004; eff. Dec. 1, 2004, as specified by the Agency.Amended: Permanent Rule of same title adopted. F. Mar. 10, 2005; eff. Mar. 30, 2005.