22436602, 60P-1.003 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 22436602

Notice of Proposed Rule

Department:

DEPARTMENT OF MANAGEMENT SERVICES

Division:

Division of State Employees' Insurance

Chapter:

STATE GROUP INSURANCE PROGRAM

Overview

RULE:

60P-1.003

Definitions

PURPOSE:

The purpose of the rule amendment is to implement the statutory requirement in section 110.123(3)(h)2.d., Florida Statutes, to establish Health Maintenance Organization (HMO) Regions throughout the state within which an HMO is authorized by contract to provide services to State Group Insurance Program enrollees. The proposed rule amendment changes the definition for HMO service area to a definition for HMO Region.

SUMMARY:

The department has established a proposed HMO Region map based on a referral pattern analysis of member claims and enrollment data. The proposed HMO Region map is incorporated by reference in the rule with an effective date of January 1, 2023, to prevent conflict with current HMO service area contracts.

RULEMAKING AUTHORITY:

110.123, Florida Statutes

LAW:

110.123, Florida Statutes

PRINT PUBLISH DATE:

10/1/2019 Vol. 45/191

COMMENTS:

From 10/1/2019 To 10/22/2019 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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