Section 22-B5500. PURPOSE

 

5500.1 The purpose of this chapter is to set forth the standards under which a Health Maintenance Organization (HMO) or other health care provider may qualify to serve District Medicaid recipients on a prepaid basis.

 

5500.2 Organizations willing and able to offer quality health care services to voluntarily enrolled subscribers for a fixed prepaid fee, including HMOs, preferred provider organizations, community health centers, insurance companies, and physician groups, are referred to throughout these standards as Qualifying Organizations (QOs).

 

5500.3 Only organizations meeting the criteria in these standards shall qualify for consideration as prepaid providers for District Medicaid recipients.

 

 

authority

Unless otherwise noted, the authority for this chapter is D.C. Code, 2001 Ed. §1-307.02; and Reorganization Plan No. 2 of 1979, 3 D.C. Code, 2001 Ed. at 338.

source

Final Rulemaking published at 34 DCR 1550 (March 6, 1987).