Subtitle 304.38 - HEALTH MAINTENANCE ORGANIZATIONS

Section 304.38-010 - Title
Section 304.38-020 - Purpose
Section 304.38-030 - Definitions for subtitle
Section 304.38-035 - Certificate required for health maintenance organization
Section 304.38-040 - Establishment of health maintenance organizations
Section 304.38-042 - Requirements for provider-sponsored integrated health networks to convert to health maintenance organization
Section 304.38-050 - Evidence of coverages and charges for health care service - Exception
Section 304.38-060 - Issuance of certificate of authority
Section 304.38-065 - [Repealed]
Section 304.38-070 - Requirements for protection against insolvency - Risk-based capital requirements - Requirements for health maintenance organizations
Section 304.38-073 - Deposit of cash or securities for performance of obligations to enrollees
Section 304.38-075 - Requirements for transfer of risk to provider - Additional reserves may be required
Section 304.38-077 - [Repealed]
Section 304.38-080 - Information to enrollees
Section 304.38-090 - Annual report
Section 304.38-095 - Application of KRS 304.2-205
Section 304.38-098 - Compliance with KRS 304.18-124 to 304.18-127
Section 304.38-100 - Investments
Section 304.38-110 - Agent of health maintenance organization - Licensing - Continuing education - Appointment
Section 304.38-120 - Financial condition, market conduct, and business practices subject to examination
Section 304.38-130 - Revocation or suspension of certificate of authority
Section 304.38-140 - Rehabilitation, liquidation, or conservation of health maintenance organization
Section 304.38-150 - Rules and regulations
Section 304.38-160 - [Repealed]
Section 304.38-170 - Public documents - Statutory construction
Section 304.38-180 - Prohibited practices
Section 304.38-185 - Coordination of benefits
Section 304.38-190 - Powers of insurers
Section 304.38-191 - Conversion and continuation rights upon termination of group coverage
Section 304.38-192 - [Repealed]
Section 304.38-193 - Coverage for treatment for mental illness
Section 304.38-1933 - Coverage for services of licensed psychologist or licensed clinical social worker
Section 304.38-1934 - Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing - Duties of health maintenance organization
Section 304.38-1935 - [Effective Until 1/1/2025] Coverage for mammograms
Section 304.38-1935 - [Effective 1/1/2025] Coverage for mammograms
Section 304.38-1936 - Coverage for treatment of breast cancer
Section 304.38-1937 - Coverage for treatment of temporomandibular joint disorders and craniomandibular jaw disorders
Section 304.38-194 - Pooling of claims experience required
Section 304.38-195 - Policy covering services performed by dentist deemed to cover such services performed by physician
Section 304.38-1955 - Construction of provisions for services by licensed optometrist or licensed ophthalmic dispenser to include same services from licensed physician
Section 304.38-196 - Indemnity payable for services performed by chiropractors, physicians, osteopaths, or podiatrists
Section 304.38-197 - Coverage for treatment of alcoholism
Section 304.38-198 - Optional nursery care coverage for a well newly born child
Section 304.38-199 - Coverage for newly-born child
Section 304.38-200 - Application of other subtitles
Section 304.38-205 - Medicare supplement coverage for persons not eligible for Medicare by reason of age
Section 304.38-210 - Health maintenance organizations as insurers to offer home health care coverage - Conditions
Section 304.38-220 - Long-term health care benefits
Section 304.38-225 - Requirements for health maintenance organization that provides hospital benefits coverage and requires utilization review of benefits
Section 304.38-230 - Funding of benefits by employer or group contract holder
Section 304.38-240 - Solicitation of proposals designating medical necessity criteria for Medicaid managed care organizations - Administrative regulation
Section 304.38-500 - [Repealed]
Section 304.38-505 - [Repealed]
Section 304.38-510 - [Repealed]