Utah § 31A-8-104 Determination of ability to provide services.

Utah Statutes

§ 31A-8-104 — Determination of ability to provide services.

Utah § 31A-8-104

Title 31AInsurance Code

Ch. 31A-8Health Maintenance Organizations and Limited Health Plans

Part 31A-8-1General Provisions

This text of Utah § 31A-8-104 (Determination of ability to provide services.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-8-104 (2026).

Text

(1)The commissioner may not issue a certificate of authority to an applicant for a certificate of authority under this chapter unless the applicant demonstrates to the commissioner that the applicant has:

(1)(a) the willingness and potential ability to furnish the proposed health care services in a manner to assure both availability and accessibility of adequate personnel and facilities and continuity of service; and

(1)(b) arrangements for an ongoing quality of health care assurance program concerning health care processes and outcomes.

(2)(2)(a) In accordance with Sections 31A-2-203 and 31A-2-204, the commissioner may order an independent audit or examination by one or more technical experts to determine an applicant's ability to provide the proposed health care services as described

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(1) The commissioner may not issue a certificate of authority to an applicant for a certificate of authority under this chapter unless the applicant demonstrates to the commissioner that the applicant has:

(1)(a) the willingness and potential ability to furnish the proposed health care services in a manner to assure both availability and accessibility of adequate personnel and facilities and continuity of service; and
(1)(b) arrangements for an ongoing quality of health care assurance program concerning health care processes and outcomes.
(2) (2)(a) In accordance with Sections 31A-2-203 and 31A-2-204, the commissioner may order an independent audit or examination by one or more technical experts to determine an applicant's ability to provide the proposed health care services as described in Subsection (1).
(2)(b) In accordance with Section 31A-2-205, an applicant shall reimburse the commissioner for the reasonable cost of an independent audit or examination.
(3) Licensing under this chapter does not exempt an organization from any licensing requirement applicable under Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.