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304.17A-575 Definitions for KRS 304.17A-575 to 304.17A-578.
As used in KRS 304.17A-575 to 304.17A-578, unless the context requires otherwise: <br>(1) "Applicant" means a physician licensed under KRS Chapter 311, an advanced
practice registered nurse licensed under KRS Chapter 314, a psychologist licensed <br>under KRS Chapter 319, or an optometrist licensed under KRS Chapter 320 <br>applying for credentialing;
(2) "Enrollee" means a person who is eligible to receive health care services under a
managed care plan;
(3) "Managed care plan" means a health benefit plan that integrates the financing and
delivery of appropriate health care services to enrollees by arrangements with <br>participating providers who are selected to participate on the basis of explicit <br>standards to furnish a comprehensive set of health care services and financial <br>incentives for enrollees to use the participating providers and procedures provided <br>for in the plan; and
(4) "Nonparticipating provider" means a physician licensed under KRS Chapter 311, an
advanced practice registered nurse licensed under KRS Chapter 314, a psychologist <br>licensed under KRS Chapter 319, or an optometrist licensed under KRS Chapter <br>320 that has not entered into an agreement with an insurer to provide health care <br>services.
Effective: July 15, 2010 <br>History: Amended 2010 Ky. Acts ch. 85, sec. 47, effective July 15, 2010. -- Created
2008 Ky. Acts ch. 169, sec. 1, effective July 15, 2008.
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