KRS 205.533: Website of managed care organization -- Requirements.

(1) A managed care organization shall maintain an interactive website, operated by the

managed care organization, that allows providers to file grievances, appeals, and

supporting documentation electronically in an encrypted format that complies with

federal l aw and that allows a provider to review the current status of a matter

relating to an appeal or a grievance filed concerning a submitted claim.

(2) Each managed care organization's website established in accordance with

subsection (1) of this section shall include, in a highly visible and easily accessible

manner, the following:

(a) The name, individual email address, and individual telephone number for each

of the managed care organization's provider relations representatives for:

1. Behavioral health;

2. Physical health; and

3. Provider contract changes; and

(b) A detailed explanation, written in plain and simple to understand language, of

the managed care organization's process for:

1. Internal appeals; and

2. Providers to request an external, independent third-party review.

(3) Information required to be accessible on a managed care organization's website

pursuant to subsection (2) of this section shall be kept current and updated within

thirty (30) days of any change to the information.