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Code · Iowa · Chapter 514B — Health Maintenance Organizations

514B.33 Establishment of limited service organizations.

219 words·~1 min read·/ia/chapter-514b-health-maintenance-organizations/514b-33

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1. A person may apply to the commissioner for and obtain a certificate of authority to establish and operate a limited service organization in compliance with this chapter. A person shall not establish or operate a limited service organization in this state, or sell, offer to sell, or solicit offers to purchase or receive advance or periodic consideration in conjunction with a limited service organization without obtaining a certificate of authority under this chapter.
2. When not otherwise provided, a foreign or domestic limited service organization doing business in this state shall pay the commissioner the fees as required in section 511.24.
3. The commissioner shall adopt rules pursuant to chapter 17A establishing a certification process for limited service organizations.
4. Sections 514B.3B and 514B.12 apply to all foreign and domestic limited service organizations authorized to do business in this state.
5. a. For purposes of this section, “limited service organization” means an organization providing dental care services, vision care services, mental health services, substance use disorder services, pharmaceutical services, podiatric care services, or such other services as may be determined by the commissioner.
b. “Limited service organization” does not include an organization providing hospital, medical, surgical, or emergency services, except as such services are provided incident to those services identified in paragraph “a”.
Referred to in §507C.3, 508C.3
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