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- KRS 304.17A-575 · Definitions for KRS 304.17A-575 to 304.17A-577.
- KRS 304.17A-576 · Notice by managed care plan insurer of health care provider's
- KRS 304.17A-577 · Disclosure of payment or fee schedule to managed care plan health
- KRS 304.17A-578 · Renumbered as KRS 304.17A-235.
- KRS 304.17A-580 · Education of insured about appropriate use of emergency and
- KRS 304.17A-590 · Participating provider directories.
- KRS 304.17A-591 · Definitions for KRS 304.17A-591 to 304.17A-599.
- KRS 304.17A-593 · Requirement to provide reasonably adequate and accessible
- KRS 304.17A-595 · Definitions for section -- Requirements for contract for provision of
- KRS 304.17A-597 · Prohibition against certain actions of administrator of pharmacy
- KRS 304.17A-599 · Commissioner review of alleged violations of KRS 304.17A-593,
- KRS 304.17A-600 · Definitions for KRS 304.17A-600 to 304.17A-633.
- KRS 304.17A-603 · Application of KRS 304.17A-600 to 304.17A-633 -- Written
- KRS 304.17A-605 · Requirements and procedures for utilization review -- Exception for
- KRS 304.17A-606 · Definitions for section -- Prior authorization exemption program --
- KRS 304.17A-6061 · Commissioner to report to the Legislative Research Commission on
- KRS 304.17A-607 · Duties of insurer or private review agent performing utilization
- KRS 304.17A-609 · Emergency administrative regulations governing utilization review
- KRS 304.17A-611 · Prohibition against retrospective denial of coverage for health care
- KRS 304.17A-613 · Emergency administrative regulations governing registration of
- KRS 304.17A-615 · Prohibition against denying or reducing payments under certain
- KRS 304.17A-617 · Internal appeals process -- Procedures -- Review of coverage denials.
- KRS 304.17A-619 · Duty of covered person, authorized person, or provider to provide
- KRS 304.17A-621 · Independent External Review Program.
- KRS 304.17A-623 · External review of adverse benefit determination -- Who may request
- KRS 304.17A-625 · Factors to be considered by independent review entity conducting
- KRS 304.17A-627 · Certification as independent review entity -- Requirements and
- KRS 304.17A-629 · Administrative regulations to implement provisions of KRS 304.17A-
- KRS 304.17A-631 · Time for insurers to comply with administrative regulations.
- KRS 304.17A-633 · Commissioner to report to Interim Joint Committee on Banking and
- KRS 304.17A-640 · Definitions for KRS 304.17A-640 et seq.
- KRS 304.17A-641 · Treatment of a stabilized covered person with an emergency medical
- KRS 304.17A-643 · Treatment of covered person under special circumstances.
- KRS 304.17A-645 · Covered person's access to participating nonprimary care physician
- KRS 304.17A-647 · Covered person's access to participating obstetrician or gynecologist -
- KRS 304.17A-649 · Administrative regulations for the implementation of KRS 304.17A-
- KRS 304.17A-655 · Definitions for KRS 304.17A-655 to 304.17A-659. (Effective January
- KRS 304.17A-657 · Coverage for feeding or eating disorders. (Effective January 1, 2027)
- KRS 304.17A-659 · Prohibited standards and permitted factors for coverage of feeding or
- KRS 304.17A-660 · Definitions for KRS 304.17A-660 to 304.17A-669.
- KRS 304.17A-661 · Treatment of mental health conditions to be covered under terms or
- KRS 304.17A-662 · Reimbursement for health benefits delivered through psychiatric
- KRS 304.17A-665 · Commissioner to report to Legislative Research Commission on
- KRS 304.17A-669 · KRS 304.17A-660 to 304.17A-669 not to be construed as mandating
- KRS 304.17A-700 · Definitions for KRS 304.17A-700 to 304.17A-730 and KRS 205.593,
- KRS 304.17A-702 · Claims payment time frames -- Duties of insurer.
- KRS 304.17A-704 · Insurer's acknowledgment of receipt of claim -- Inaccurate or
- KRS 304.17A-705 · Electronic claims submission.
- KRS 304.17A-706 · Contested claims -- Delay of payment -- Conditions -- Procedure.
- KRS 304.17A-708 · Resolution of payment errors -- Retroactive denial of claims --
- KRS 304.17A-710 · Disclosure of claims payment information to provider.
- KRS 304.17A-712 · Claim refunds and overpayments.
- KRS 304.17A-714 · Collection of claim overpayments -- Dispute resolution.
- KRS 304.17A-716 · Prohibition against denial or reduction of payment for covered health
- KRS 304.17A-718 · Disclosure of claims payment information to covered person.
- KRS 304.17A-720 · Administrative regulations for standardized health claim attachments
- KRS 304.17A-722 · Administrative regulations on claims payment practices.
- KRS 304.17A-724 · Applicability of KRS 304.17A-700 to 304.17A-730 and KRS 205.593,
- KRS 304.17A-726 · Exclusive application of KRS 304.17A-700 to 304.17A-730 and KRS
- KRS 304.17A-728 · Contract disclosures of discounted fees -- Violation is unfair claims
- KRS 304.17A-730 · Payment of interest for failing to pay, denying, or settling a clean
- KRS 304.17A-732 · Annual reports on providers prescribing medication for addiction
- KRS 304.17A-740 · Definitions for KRS 304.17A-740 to 304.17A-743.
- KRS 304.17A-741 · Audit of pharmacy records -- Conditions.
- KRS 304.17A-743 · Pharmacy audit appeals process.
- KRS 304.17A-745 · KRS 304.17A-740 to 304.17A-743 not applicable to audits conducted
- KRS 304.17A-747 · KRS 304.17A-740 to 304.17A-743 not applicable when fraud, willful
- KRS 304.17A-750 · Definitions for KRS 304.17A-750 to 304.17A-770 and 304.47-020.
- KRS 304.17A-752 · Registration of insurance purchasing outlets -- Licensed agents --
- KRS 304.17A-754 · Application -- Approval and issuance of certificate -- Information to
- KRS 304.17A-756 · Denial, suspension, and revocation of application or license -- Civil
- KRS 304.17A-758 · Activities allowed under administrator license -- Financial statements
- KRS 304.17A-760 · Duties and powers of insurance purchasing outlet.
- KRS 304.17A-762 · Outlet to act as policyholder for member -- Certificate of coverage for
- KRS 304.17A-764 · Determination of premiums -- Restrictions in calculation.
- KRS 304.17A-766 · Coverage deemed group health insurance -- Requirements for health
- KRS 304.17A-768 · Voucher -- Redemption -- Payment of premium amount -- Fee to
- KRS 304.17A-770 · Provisions applicable to insurance purchasing outlets.
- KRS 304.17A-800 · Purpose of KRS 304.17A-800 to 304.17A-844.
- KRS 304.17A-802 · Definitions for KRS 304.17A-800 to 304.17A-844.
- KRS 304.17A-804 · Applicability of KRS 304.17A-800 to 304.17A-844 -- Self-insured
- KRS 304.17A-806 · Certificate of filing required.
- KRS 304.17A-808 · Application for certificate of filing -- Fee.
- KRS 304.17A-810 · Conditions for issuance of certificate of filing.
- KRS 304.17A-812 · Initial and continuing financial solvency requirements.
- KRS 304.17A-814 · Notification of change in information.
- KRS 304.17A-816 · Investment of funds.
- KRS 304.17A-818 · Agent of self-insured employer-organized association group --
- KRS 304.17A-820 · Examination of financial condition, affairs, and management by
- KRS 304.17A-822 · Appointment of Secretary of State as attorney to receive legal process.
- KRS 304.17A-824 · Continuing effectiveness of certificate -- Termination of certificate at
- KRS 304.17A-826 · Operation of group by board of trustees -- Powers and duties --
- KRS 304.17A-828 · Membership -- Liability on termination of membership, insolvency, or
- KRS 304.17A-830 · Trustees, officers, directors, or employees not to have interest in
- KRS 304.17A-832 · Statement of financial condition -- Authority for administrative
- KRS 304.17A-834 · Filing of rates, underwriting guidelines, evidence of coverage, and
- KRS 304.17A-836 · Contribution plans to be established.
- KRS 304.17A-838 · Members to receive evidences of coverage -- Contents.
- KRS 304.17A-840 · Suspension or revocation of certificate of filing.
- KRS 304.17A-842 · Authority for administrative regulations.