Article 32.--HEALTH MAINTENANCE ORGANIZATIONS AND MEDICARE PROVIDER ORGANIZATIONS
40-3204.Notice that application incomplete,insufficient orunsatisfactory; issuance of certificate, when.(a) The commissioner shallnotify any person filing an application for a certificate of authoritywithin 60 days of such filing if such application is notcomplete or sufficient and the reasons therefor, or that payment of thefees required by K.S.A. 40-3213 and amendments thereto has not been made orthat the commissioner is not satisfied with the sufficiency of theinformation supplied pursuantto the provisions of K.S.A. 40-3203 and amendments thereto or that theorganization has failed to demonstrate its ability to assure that health careservices will be provided.
(b) The commissioner shall, within 60 days after the receipt of acompleted application and any prescribed fees, issue a certificate of authorityto any person filing such application if the commissioner finds that:
(1) The persons responsible for the conduct of the affairs of the applicantare competent, trustworthy and possess good reputations;
(2) any deficiencies identified by the commissioner in the application havebeen corrected;
(3) the health maintenance organization or medicare providerorganization will effectively provide or arrangefor the provision of basic health care services on a prepaid basis, throughinsurance or otherwise except to the extent of reasonable requirements forcopayments and/or deductibles; and
(4) in the case of a health maintenance organization, that the healthmaintenance organization is in compliance with K.S.A. 40-3227and amendments thereto and in the case of a medicare provider organization,that the medicare provider organization is in compliance with such deposit orsolvency requirements as the commissioner may establish by rules andregulations.
History: L. 1974, ch. 181, § 4;L. 1996, ch. 169, § 8;L. 1998, ch. 174, § 15; July 1.
Article 32.--HEALTH MAINTENANCE ORGANIZATIONS AND MEDICARE PROVIDER ORGANIZATIONS
40-3204.Notice that application incomplete,insufficient orunsatisfactory; issuance of certificate, when.(a) The commissioner shallnotify any person filing an application for a certificate of authoritywithin 60 days of such filing if such application is notcomplete or sufficient and the reasons therefor, or that payment of thefees required by K.S.A. 40-3213 and amendments thereto has not been made orthat the commissioner is not satisfied with the sufficiency of theinformation supplied pursuantto the provisions of K.S.A. 40-3203 and amendments thereto or that theorganization has failed to demonstrate its ability to assure that health careservices will be provided.
(b) The commissioner shall, within 60 days after the receipt of acompleted application and any prescribed fees, issue a certificate of authorityto any person filing such application if the commissioner finds that:
(1) The persons responsible for the conduct of the affairs of the applicantare competent, trustworthy and possess good reputations;
(2) any deficiencies identified by the commissioner in the application havebeen corrected;
(3) the health maintenance organization or medicare providerorganization will effectively provide or arrangefor the provision of basic health care services on a prepaid basis, throughinsurance or otherwise except to the extent of reasonable requirements forcopayments and/or deductibles; and
(4) in the case of a health maintenance organization, that the healthmaintenance organization is in compliance with K.S.A. 40-3227and amendments thereto and in the case of a medicare provider organization,that the medicare provider organization is in compliance with such deposit orsolvency requirements as the commissioner may establish by rules andregulations.
History: L. 1974, ch. 181, § 4;L. 1996, ch. 169, § 8;L. 1998, ch. 174, § 15; July 1.
Article 32.--HEALTH MAINTENANCE ORGANIZATIONS AND MEDICARE PROVIDER ORGANIZATIONS
40-3204.Notice that application incomplete,insufficient orunsatisfactory; issuance of certificate, when.(a) The commissioner shallnotify any person filing an application for a certificate of authoritywithin 60 days of such filing if such application is notcomplete or sufficient and the reasons therefor, or that payment of thefees required by K.S.A. 40-3213 and amendments thereto has not been made orthat the commissioner is not satisfied with the sufficiency of theinformation supplied pursuantto the provisions of K.S.A. 40-3203 and amendments thereto or that theorganization has failed to demonstrate its ability to assure that health careservices will be provided.
(b) The commissioner shall, within 60 days after the receipt of acompleted application and any prescribed fees, issue a certificate of authorityto any person filing such application if the commissioner finds that:
(1) The persons responsible for the conduct of the affairs of the applicantare competent, trustworthy and possess good reputations;
(2) any deficiencies identified by the commissioner in the application havebeen corrected;
(3) the health maintenance organization or medicare providerorganization will effectively provide or arrangefor the provision of basic health care services on a prepaid basis, throughinsurance or otherwise except to the extent of reasonable requirements forcopayments and/or deductibles; and
(4) in the case of a health maintenance organization, that the healthmaintenance organization is in compliance with K.S.A. 40-3227and amendments thereto and in the case of a medicare provider organization,that the medicare provider organization is in compliance with such deposit orsolvency requirements as the commissioner may establish by rules andregulations.
History: L. 1974, ch. 181, § 4;L. 1996, ch. 169, § 8;L. 1998, ch. 174, § 15; July 1.
