Chapter 182-538 - Managed care

Section 182-538-040 - Introduction
Section 182-538-050 - Definitions
Section 182-538-060 - Managed care choice and assignment
Section 182-538-061 - [Repealed]
Section 182-538-063 - [Repealed]
Section 182-538-065 - [Repealed]
Section 182-538-067 - Qualifications to become a managed care organization (MCO) in integrated managed care
Section 182-538-068 - Qualifications to become a primary care case management (PCCM) provider in integrated managed care regional service areas
Section 182-538-070 - Payments, corrective action, and sanctions for managed care organizations (MCOs)
Section 182-538-071 - Payments for primary care case management (PCCM) providers in the integrated managed care for regional service areas
Section 182-538-095 - Scope of care for integrated managed care enrollees and managed care organization benefit administration requirements
Section 182-538-096 - Scope of service for PCCM enrollees
Section 182-538-100 - Managed care emergency services
Section 182-538-110 - The grievance and appeal system and agency administrative hearing for managed care organization (MCO) enrollees
Section 182-538-111 - The administrative hearing process for primary care case management (PCCM)
Section 182-538-120 - Enrollee request for a second medical opinion
Section 182-538-130 - Exemptions and ending enrollment in managed care
Section 182-538-140 - Quality of care
Section 182-538-150 - Apple health foster care program
Section 182-538-170 - Notice requirements
Section 182-538-180 - Rights and protections
Section 182-538-190 - Behavioral health services only (BHSO)
Section 182-538-195 - Telemedicine and store and forward technology