RS 40:2221

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A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

RS 40:2221

PART III. QUALITY ASSURANCE OF PARTICIPANTS IN

HEALTH CARE COST CONTROL PROGRAM

§2221. Definitions

For the purposes of this Part:

(1)"Department" means the Louisiana Department of Health.

(2)"Enrollee" means any Medicaid recipient or indigent, uninsured, or underinsured person enrolled in a qualified plan for the provision of health care services whose enrollment costs are paid wholly or in part by the state under a federal waiver to the Medicaid program.

(3)"Qualified plan" means a basic benefits plan that may be established under a health maintenance organization, health insurance organization, or managed care organization certified by the secretary of the Louisiana Department of Health to contract with the state to provide or coordinate the provision of health care services to an enrollee.

Acts 1995, No. 1211, §1, eff. June 29, 1995.