Louisiana § 40:2222 Certification of organizations providing qualified plans

Louisiana Statutes

§ 40:2222 — Certification of organizations providing qualified plans

Louisiana § 40:2222

Title 40Public Health and Safety

This text of Louisiana § 40:2222 (Certification of organizations providing qualified plans) is published on Counsel Stack Legal Research, covering Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

La. Stat. Ann. § 40:2222 (2026).

Text

A. No health maintenance organization, health insurance organization, managed care organization, or other entity may contract with the state to provide a qualified plan to an enrollee unless so certified by the department. B. No health maintenance organization, health insurance organization, managed care organization, or other entity shall be certified to provide a qualified plan unless that plan meets minimum standards established by the department by the adoption and promulgation of rules and regulations in accordance with the Administrative Procedure Act. Such standards shall include, but not be limited to:

(1)Access to routine, urgent, and emergency care by enrollees.

(2)Primary care including location, hours, waiting times, and access to care when needed.

(3)Availability of special

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A. No health maintenance organization, health insurance organization, managed care organization, or other entity may contract with the state to provide a qualified plan to an enrollee unless so certified by the department.
B. No health maintenance organization, health insurance organization, managed care organization, or other entity shall be certified to provide a qualified plan unless that plan meets minimum standards established by the department by the adoption and promulgation of rules and regulations in accordance with the Administrative Procedure Act. Such standards shall include, but not be limited to:
(1) Access to routine, urgent, and emergency care by enrollees.
(2) Primary care including location, hours, waiting times, and access to care when needed.
(3) Availability of specialty care.
(4) Technical competence of health care providers.
(5) Implementation of a peer review program.
(6) Health and medical standards.
C. Any qualified plan provider that fails to maintain the minimum standards as determined by the department shall be subject to penalties, including revocation of any authority to participate in the state program or a prohibition on enrolling any new member.