58-41-123. Notice by risk bearing entity of change in conditions--Assignment of contract.
115 words·~1 min read·
/sd/title-58/chapter-58-41/58-41-123·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
A health maintenance organization shall require in any contract with a risk bearing entity that the risk bearing entity provide notice to the health maintenance organization within thirty days of:
(1)Any changes involving the ownership structure of the risk bearing entity; or
(2)Financial or operational concerns regarding the financial viability of the risk bearing entity.
A health maintenance organization shall also require in any contract with a risk bearing entity a provision that allows the director, in the event that a risk bearing entity fails to comply with any provision of §§ 58-41-120 to 58-41-126 , inclusive, to assign for six months, the risk bearing entity's contract with providers to furnish covered services.