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2017 Kentucky Revised Statutes
CHAPTER 304 - INSURANCE CODE
Subtitle 17A - Health Benefit Plans
304.17A-575 Definitions for KRS 304.17A-575 to 304.17A-577.

Universal Citation: KY Rev Stat § 304.17A-575 (2017)
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304.17A-575 Definitions for KRS 304.17A-575 to 304.17A-577. As used in KRS 304.17A-575 to 304.17A-577, unless the context requires otherwise: (1) "Applicant" means a physician licensed under KRS Chapter 311, an advanced practice registered nurse licensed under KRS Chapter 314, a psychologist licensed under KRS Chapter 319, or an optometrist licensed under KRS Chapter 320 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 participating providers who are selected to participate on the basis of explicit standards to furnish a comprehensive set of health care services and financial incentives for enrollees to use the participating providers and procedures provided 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 licensed under KRS Chapter 319, or an optometrist licensed under KRS Chapter 320 that has not entered into an agreement with an insurer to provide health care services. Effective: July 15, 2010 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. Legislative Research Commission Note (1/1/2017). During codification of 2016 Ky. Acts ch. 143, KRS 304.17A-578 was repealed and reenacted as a new section of KRS Chapter 304.17A, which was given the number KRS 304.17A-578. A conforming correction was required to be made to the language preceding subsection (1) of this statute to reflect removal of KRS 304.17A-578 from the statutory range "KRS 304.17A-575 to 304.17A-578" and changing the reference to read "KRS 304.17A-575 to 304.17A-577."
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