Managed Care Plans  


17A-500. Definitions for KRS 304.17A-500 to 304.17A-590.
17A-505. Disclosure of terms and conditions of health benefit plan -- Filing with department.
17A-510. Notification by insurer offering managed care plans of availability of printed document.
17A-515. Requirements for managed care plan.
17A-520. Enrollee choice of primary care providers.
17A-525. Standards for provider participation -- Mechanisms for consideration of provider applications -- Policy for removal or withdrawal.
17A-527. Filing of provider agreements, risk-sharing arrangements, and subcontract agreements with commissioner -- Contents -- Disclosure of financial information not required.
17A-530. Prohibition against contract limiting disclosure to patient of patient medical condition or treatment options.
17A-532. Prohibition against contract requiring mandatory use of hospitalist.
17A-533. Repealed, 2004. [Repealed]
17A-535. Drug utilization waiver program -- Limitations on generic substitution -- Application to drug formulary.
17A-540. Disclosure of limitations on coverage -- Denial letter.
17A-545. Medical director for managed care plan -- Duties -- Quality assurance or improvement standards -- Process to select health care providers -- Uniform application form and guidelines for health care provider evaluations.
17A-550. Out-of-network benefits.
17A-555. Patient's right of privacy regarding mental health or chemical dependency -- Authorized disclosure.
17A-560. Most-favored-nation provision.
17A-565. Commissioner to enforce KRS 304.17A-500 to 304.17A-570 -- Administrative regulations.
17A-570. Applicability of KRS 304.17A-500 to 304.17A-570 for health insurance contracts or certificates.
17A-575. Definitions for KRS 304.17A-575 to 304.17A-578.
17A-576. Notice by managed care plan insurer of health care provider's application for credentialing -- Payments to applicant.
17A-577. Disclosure of payment or fee schedule to managed care plan health care provider -- Disclosure of schedule change -- Confidentiality of payment information.
17A-578. Notice to health care provider of material change to managed care plan.
17A-580. Education of insured about appropriate use of emergency and medical services -- Coverage of emergency medical conditions and emergency department services -- Emergency personnel to contact primary care provider or insurer -- Exclusion of limited-benefit health insurance policies.
17A-590. Participating provider directories.