Chapter 5160-26 - Managed Care Plan

  1. § 5160-26-01 - Managed health care programs: definitions
  2. § 5160-26-02 - Managed health care program: eligibility and enrollment
  3. § 5160-26-02.1 - Managed health care programs: termination of enrollment
  4. § 5160-26-03 - Managed health care programs: covered services
  5. § 5160-26-03.1 - Managed health care programs: primary care and utilization management
  6. § 5160-26-04 - [Rescinded]Managed health care programs: procurement and plan selection
  7. § 5160-26-05 - Managed health care programs: provider panel and subcontracting requirements
  8. § 5160-26-05.1 - Managed health care programs: provider services
  9. § 5160-26-06 - Managed health care programs: program integrity - fraud, waste and abuse, audits, reporting, and record retention
  10. § 5160-26-07 - [Rescinded]Managed health care programs: annual external quality review survey
  11. § 5160-26-07.1 - [Rescinded]Managed health care programs: Quality assessment and performance improvement program (QAPI)
  12. § 5160-26-08 - [Rescinded]Managed health care programs: marketing
  13. § 5160-26-08.1 - [Rescinded]Managed health care programs: information and enrollment services
  14. § 5160-26-08.2 - [Rescinded]Managed health care programs: member services
  15. § 5160-26-08.3 - Managed health care programs: member rights
  16. § 5160-26-08.4 - Managed health care programs: managed care plan appeal and grievance system
  17. § 5160-26-08.5 - [Rescinded]Managed health care programs: responsibilities for state hearings
  18. § 5160-26-09 - [Rescinded]Managed health care programs: payment and financial responsibility
  19. § 5160-26-09.1 - Managed health care programs: third party liability and recovery
  20. § 5160-26-10 - Managed health care programs: sanctions and provider agreement actions
  21. § 5160-26-11 - Managed health care programs: managed care plan non-contracting providers
  22. § 5160-26-12 - Managed health care programs: member co-payments

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.


No prior version found.