Florida Administrative Code
69 - DEPARTMENT OF FINANCIAL SERVICES
69O - OIR - Insurance Regulation
Chapter 69O-158 - EXCHANGE OF MEDICAID DATA WITH INSURERS
Section 69O-158.003 - Definitions

Universal Citation: FL Admin Code R 69O-158.003

Current through Reg. 50, No. 187; September 24, 2024

The following definitions shall apply to this rule chapter:

(1) "Office" shall mean the Office of Regulation.

(2) "AHCA" shall mean the Agency for Health Care Administration.

(3) "Insurer" shall mean an entity authorized by the Office to transact health insurance, multiple employer welfare arrangement, health maintenance organization, and prepaid health clinic insurance.

(4) "Policy" shall mean health insurance policy, health maintenance contract as defined in Section 641.19(5), F.S., prepaid health clinic contract as defined in Section 641.402(6), F.S., and multiple employer welfare arrangement policy or contract issued pursuant to Sections 624.436-.446, F.S.

(5) "Medical assistance" shall mean payment by AHCA for medical services to any person eligible for Medicaid or for assistance from the Public Medical Assistance Trust Fund pursuant to Section 409.918, F.S.

Rulemaking Authority 409.910, 624.308 FS. Law Implemented 409.910, 624.424(9), 641.261, 641.411 FS.

New 11-14-89, Formerly 4-80.003, 4-158.003.

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