Part 4 - STATEWIDE MANAGED CARE SYSTEM
- Section 25.5-5-401 - Short title
- Section 25.5-5-402 - Statewide managed care system - rules - definitions
- Section 25.5-5-403 - Definitions
- Section 25.5-5-404 - [Repealed]
- Section 25.5-5-405 - [Repealed]
- Section 25.5-5-406 - [Repealed]
- Section 25.5-5-406.1 - Required features of statewide managed care system
- Section 25.5-5-407 - [Repealed]
- Section 25.5-5-407.5 - [Repealed]
- Section 25.5-5-407.7 - [Repealed]
- Section 25.5-5-408 - Capitation payments - availability of base data - adjustments - rate calculation - capitation payment proposal - preference - assignment of medicaid members - definition
- Section 25.5-5-409 - [Repealed]
- Section 25.5-5-410 - Data collection for managed care programs
- Section 25.5-5-411 - [Repealed]
- Section 25.5-5-412 - Program of all-inclusive care for the elderly - services - eligibility - rules - legislative declaration - definitions
- Section 25.5-5-413 - [Repealed]
- Section 25.5-5-414 - Telemedicine - legislative intent
- Section 25.5-5-415 - Medicaid payment reform and innovation pilot program - creation - selection of payment projects - report - rules - legislative declaration
- Section 25.5-5-416 - [Repealed]
- Section 25.5-5-417 - [Repealed]
- Section 25.5-5-418 - Primary care provider sustainability fund - creation - use of fund
- Section 25.5-5-419 - Accountable care collaborative - reporting - rules
- Section 25.5-5-420 - Advancing care for exceptional kids
- Section 25.5-5-421 - Parity reporting - state department - public input
- Section 25.5-5-422 - Medication-assisted treatment - limitations on MCEs - definition
- Section 25.5-5-423 - Independent review organization - review denial of residential and inpatient substance use disorder treatment claims - contract
- Section 25.5-5-424 - Residential and inpatient substance use disorder treatment - MCE standardized utilization management process - medical necessity - report
- Section 25.5-5-425 - Audit of MCE denials for residential and inpatient substance use disorder treatment authorization - report
- Section 25.5-5-426 - Managed care entities - behavioral health providers - disclosure of reimbursement rates