Compilation of Rules and Regulations of the State of Georgia
Department 120 - OFFICE OF COMMISSIONER OF INSURANCE, SAFETY FIRE COMMISSIONER AND INDUSTRIAL LOAN COMMISSIONER
Chapter 120-2 - RULES OF COMMISSIONER OF INSURANCE
Subject 120-2-80 - PATIENT PROTECTION ACT
Rule 120-2-80-.04 - Modification of Operation of Plan after Certification
Current through Rules and Regulations filed through September 23, 2024
(1) A managed care entity shall file supporting documentation for any substantial modification of its managed care plan or plans with the Commissioner. Such documentation shall describe changes in operations and update any previous filings made by the managed care entity for the affected managed care plan or plans. Substantial modification includes, but is not limited to, the following:
(2) All proposed substantial modifications which are voluntary must be submitted for the Commissioner's approval at least sixty (60) days prior to proposed changes, and must clearly indicate the nature, level and scope of changes. Managed care entities may not adopt substantial modifications which are voluntary prior to receiving approval from the Commissioner.
(3) Modifications reflecting changes not under the control of the managed care entity should be filed with the Commissioner as soon as possible.
O.C.G.A. Secs. 33-2-9, 33-20A-2, 33-20A-4, 33-20A-5.
