2010 New York Code
WKC - Workers' Compensation
Article 10-A - (350 - 355) PREFERRED PROVIDER ORGANIZATIONS
353 - Preferred provider organizations; licensing.

§ 353. Preferred provider organizations; licensing.  To be licensed as
  a  preferred  provider  organization any entity, except any organization
  which provides limited health care services, shall make  an  application
  to  the commissioner of health and shall submit therewith an application
  fee of five hundred dollars. Such application shall  be  accompanied  by
  the information prescribed in regulation. Such information shall include
  but not be limited to the following:
    1. the standards by which the providers participating in the preferred
  provider organization shall be selected;
    2. the names and credentials of all individuals and organizations that
  will provide service under the preferred provider organization, together
  with   appropriate   evidence   of  compliance  with  all  licensing  or
  certification requirements for  such  individuals  or  organizations  to
  practice in this state;
    3.  a  description of any final disposition of professional misconduct
  charges against any of  the  individuals  or  organizations  which  will
  provide  medical  or  other  health  care  services  under the preferred
  provider organization program;
    4. the names and professional qualifications of providers licensed  by
  the board in each medical specialty;
    5.  the names and certifications of hospitals from which employees may
  choose in the event that hospitalization is necessary;
    6. a description of the times, places and manner of providing services
  under the preferred providers organization;
    7. a  detailed  description  of  procedures  to  be  followed  by  the
  preferred   providers   organization   for  ongoing  quality  assurance,
  utilization review and dispute resolution.
    Each preferred provider organization formed pursuant to  this  article
  shall  comply  with the provisions of sections forty-four hundred eight,
  forty-four hundred eight-a, forty-four hundred six-c, forty-four hundred
  six-d, subdivisions five and six of section forty-four hundred three and
  article forty-nine of the  public  health  law.    The  commissioner  of
  health,  in  consultation  with  the  chair of the workers' compensation
  board may waive or modify the application of these  provisions  to  such
  organizations where appropriate.

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