{"data":{"id":"us-ky/krs-205.533","jurisdiction":"us-ky","citation":"KRS 205.533","heading":"Website of managed care organization -- Requirements.","body":"(1) A managed care organization shall maintain an interactive website, operated by the\nmanaged care organization, that allows providers to file grievances, appeals, and\nsupporting documentation electronically in an encrypted format that complies with\nfederal l aw and that allows a provider to review the current status of a matter\nrelating to an appeal or a grievance filed concerning a submitted claim.\n(2) Each managed care organization's website established in accordance with\nsubsection (1) of this section shall  include, in a highly visible and easily accessible\nmanner, the following:\n(a) The name, individual email address, and individual telephone number for each\nof the managed care organization's provider relations representatives for:\n1. Behavioral health;\n2. Physical health; and\n3. Provider contract changes; and\n(b) A detailed explanation, written in plain and simple to understand language, of\nthe managed care organization's process for:\n1. Internal appeals; and\n2. Providers to request an external, independent third-party review.\n(3) Information required to be accessible on a managed care organization's website\npursuant to subsection (2) of this section shall be kept current and updated within\nthirty (30) days of any change to the information.","path":["KRS Chapter 205"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=57032","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:03Z","sha256":"17a3c0cc86aea300425d2b113658653ab0bd40dfdab11aec1942064b87960a86","source_id":"us-ky","stale":false,"prev":"us-ky/krs-205.5321","next":"us-ky/krs-205.534"},"notice":"GroundRules: Original legal text. Not legal advice."}
