2006 Kentucky Revised Statutes - .075   Requirements for transfer of risk to provider -- Additional reserves may be required.

304.38-075 Requirements for transfer of risk to provider -- Additional reserves may be required. (1) Any health maintenance organization that contracts with a provider or provider organization for the transfer of risk to the provider shall take reasonable steps to ensure the transferee is able to accept and manage the risk to be transferred. The health maintenance organization shall submit a plan for evaluating a provider's or provider organization's ability to accept and manage risk to the office for approval at least forty-five (45) days prior to the proposed date of the transfer of any risk. (2) If a health maintenance organization transfers risk to a provider: (a)  Not in compliance with the standards listed in its approved plan; or (b)  Prior to filing or receiving approval of its plan; the executive director may require the health maintenance organization to retain additional reserves to cover the risk transferred. Effective: July 14, 2000 History:Created 2000 Ky. Acts ch. 255, sec. 3, effective July 14, 2000. Legislative Research Commission Note (6/20/2005). 2005 Ky. Acts chs. 11, 85, 95, 97, 98, 99, 123, and 181 instruct the Reviser of Statutes to correct statutory references to agencies and officers whose names have been changed in 2005 legislation confirming the reorganization of the executive branch. Such a correction has been made in this section. Page 1 of 1