31 Pa. Code § 152.7 - Restricted benefit-limited purpose preferred provider organizations

A risk-assuming preferred provider organization which limits its arrangements to only one class of preferred providers for the purpose of providing a limited scope or range of covered services to covered persons (for example, a dental benefits preferred provider organization or vision service benefits preferred provider organization) shall reflect the fact in the structure and function of its quality assurance system.

Notes

31 Pa. Code § 152.7