2023 CODE OF GEORGIA
Title 33 - INSURANCE (§§ 33-1-1 — 33-66-8)
Chapter 21A - MEDICAID CARE MANAGEMENT ORGANIZATIONS ACT (§§ 33-21A-1 — 33-21A-14)
Section 33-21A-3 - Certificate of authority required; setting of rates; authority of commissioners

• (a) A care management organization shall be required to obtain a certificate of authority as a health maintenance organization pursuant to Chapter 21 of this title prior to providing or arranging health care for members pursuant to a contract with the Department of Community Health. On and after the date of issuance of its certificate of authority as a health maintenance organization, a care management organization shall comply with all provisions relating to health maintenance organizations and all provisions relating to managed health care plans, with the exception of Code Section 33-20A-9.1.

• (b) The Commissioner of Insurance shall not have the authority to approve, disapprove, or set rates paid by the Department of Community Health to a care management organization or paid by a care management organization to a health care provider.

• (c) The Commissioner of Insurance shall not have the authority to approve, disapprove, or modify any plan offered by a care management organization or any contract between a care management organization and the Department of Community Health.

• (d) Nothing in this chapter shall be interpreted as altering the authority of the commissioner of community health.

Added by 2008 Ga. Laws 585,§ 1, eff. 5/13/2008.