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West Virginia Code > Chapter 33 > Article 25A - Health Maintenance Organization Act

^{Current as of: 2010}

^{Check for updates}


§ 33-25A-1	Short title and purpose
§ 33-25A-2	Definitions
§ 33-25A-3	Application for certificate of authority
§ 33-25A-3a	Conditions precedent to issuance or maintenance of a certificate of authority; renewal of certificate of authority; effect of bankruptcy proceedings
§ 33-25A-4	Issuance of certificate of authority
§ 33-25A-5	Powers of health maintenance organizations
§ 33-25A-6	Governing body
§ 33-25A-7	Fiduciary responsibilities of officers; fidelity bond; approval of contracts by commissioner
§ 33-25A-7a	Provider contracts
§ 33-25A-8	Evidence of coverage; charges for health care services; review of enrollee records; cancellation of contract by enrollee
§ 33-25A-8a	Third party reimbursement for mammography, pap smear or human papilloma virus testing
§ 33-25A-8b	Third party reimbursement for rehabilitation services
§ 33-25A-8c	Third party payment for child immunization services
§ 33-25A-8d	Coverage of emergency services
§ 33-25A-8e	Third party reimbursement for colorectal cancer examination and laboratory testing
§ 33-25A-8f	Required coverage for reconstruction surgery following mastectomies
§ 33-25A-8g	Required use of mail-order pharmacy prohibited
§ 33-25A-8h	Third-party reimbursement for kidney disease screening
§ 33-25A-8i	Third-party reimbursement for dental anesthesia services
§ 33-25A-9	Annual report
§ 33-25A-10	Information to enrollees
§ 33-25A-11	Open enrollment period
§ 33-25A-12	Grievance procedure
§ 33-25A-13	Investments
§ 33-25A-14	Prohibited advertising practices
§ 33-25A-14a	Other prohibited practices
§ 33-25A-15	Agent licensing and appointment required; regulation of marketing
§ 33-25A-16	Powers of insurers and hospital and medical service corporations
§ 33-25A-17	Examinations
§ 33-25A-17a	Quality assurance
§ 33-25A-18	Suspension or revocation of certificate of authority
§ 33-25A-19	Rehabilitation, liquidation or conservation of health maintenance organization
§ 33-25A-20	Regulations
§ 33-25A-21	Administrative procedures
§ 33-25A-22	Fees
§ 33-25A-23	Penalties and enforcement
§ 33-25A-23a	Civil penalty imposed by commissioner
§ 33-25A-24	Scope of provisions; applicability of other laws
§ 33-25A-25	Filings and reports as public documents
§ 33-25A-26	Confidentiality of medical information
§ 33-25A-27	Authority to contract with health maintenance organizations under medicaid
§ 33-25A-28	Required health maintenance organization option
§ 33-25A-31	Policies discriminating among health care providers
§ 33-25A-32	Authority of commissioner to promulgate rules and regulations regarding affiliate and subsidiary operating results
§ 33-25A-33	Guaranty fund
§ 33-25A-34	Ambulance services
§ 33-25A-35	Rural health maintenance organizations

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West Virginia Laws: Health Maintenance Organizations (HMOs)

West Virginia Code > Chapter 33 > Article 25A - Health Maintenance Organization Act

West Virginia Code > Chapter 33 > Article 25C - Health Maintenance Organization Patient Bill Of Rights

West Virginia Code > Chapter 33 > Article 26B - West Virginia Health Maintenance Organization Guaranty Association

U.S. Code Provisions: Health Maintenance Organizations (HMOs)

U.S. Code Title 42 > Chapter 6A > Subchapter XI - Health Maintenance Organizations

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