Iowa Admin. Code r. 191-35.37

Current through Register Vol. 47, No. 13, December 25, 2024

Rule 191-35.37 - Information filing requirements

(1) Each health maintenance organization shall annually file with the division no later than July 1 the following information by plan as requested by the division:

a. Health plan employer data information set (HEDIS).

b. Network composition.

c. Other information determined to be beneficial to consumers including but not limited to consumer survey information.

(2) Each preferred provider organization health network shall annually file with the division no later than July 1 the following information by plan as requested by the division:

a. Reportable information as defined by a nationally recognized accreditation organization for preferred provider organization health networks.

b. Network composition.

c. Other information determined to be beneficial to consumers including but not limited to consumer survey information.

(3) Each health maintenance organization and insurer using a preferred provider organization health network shall transmit the requested information by electronic mail in a format prescribed by the division.

Iowa Admin. Code r. 191-35.37

Amended by IAB December 29, 2021/Volume XLIV, Number 13, effective 2/2/2022