609.36 Data systems and confidentiality.
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609.36 Data systems and confidentiality.
(1)Information and data reporting.
(a)A defined network plan shall provide to the commissioner information related to all of the following:
1. The structure of the plan.
2. Health care benefits and exclusions.
3. Cost-sharing requirements.
4. Participating providers.
(b)Subject to sub.
(2), the information and data reported under par.
(a)shall be open to public inspection under ss. 19.31 to 19.39 .
(2)Confidentiality. A defined network plan shall establish written policies and procedures, consistent with ss. 51.30 , 146.82 , and 252.15 , for the handling of medical records and enrollee communications to ensure confidentiality.