044-13 Wyo. Code R. §§ 13-3 - Standards

(a) The health maintenance organization shall develop and institute health care services which assure the enrollees adequate medical care which is available and accessible in accordance with the enrollees' plan.

(b) A progressive, preventive health program is required which is developed according to the prevailing health factors predominate in the enrollee population.

(c) In reviewing material submitted, the commissioner will recognize that there are differences between the practices and procedures of a group practice and that of an individual practice arrangement, that either arrangement can be utilized in an HMO setting and that these differences will necessarily affect the structure and operation of an HMO.

Notes

044-13 Wyo. Code R. §§ 13-3