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2006 Utah Code - 26-40-110 — Managed care -- Contracting for services.
26-40-110. Managed care -- Contracting for services.
(1) Services provided to enrollees under the program shall be delivered in a managed care system if services are available within 30 paved road miles of where the enrollee lives or resides. Otherwise, the program may provide services to enrollees through fee for service plans.
(2) Before awarding a contract to a managed care system or fee for service plan to provide services under Subsection (1) or determining that no bid or proposal received in response to such a request is acceptable, the executive director shall report that information to and seek recommendations from the Health Advisory Council created in Section 26-1-7.5.
(3) If after seeking the recommendation of the Health Advisory Council under Subsection (2), the executive director determines that no bid or proposal received in response to such a request is acceptable or if no bid or proposal has been received in response to such a request, the department may contract with the Group Insurance Division within the Utah State Retirement Office to provide services under Subsection (1).
(4) Title 63, Chapter 56, Utah Procurement Code, shall apply to this section.
(1) Services provided to enrollees under the program shall be delivered in a managed care system if services are available within 30 paved road miles of where the enrollee lives or resides. Otherwise, the program may provide services to enrollees through fee for service plans.
(2) Before awarding a contract to a managed care system or fee for service plan to provide services under Subsection (1) or determining that no bid or proposal received in response to such a request is acceptable, the executive director shall report that information to and seek recommendations from the Health Advisory Council created in Section 26-1-7.5.
(3) If after seeking the recommendation of the Health Advisory Council under Subsection (2), the executive director determines that no bid or proposal received in response to such a request is acceptable or if no bid or proposal has been received in response to such a request, the department may contract with the Group Insurance Division within the Utah State Retirement Office to provide services under Subsection (1).
(4) Title 63, Chapter 56, Utah Procurement Code, shall apply to this section.
Amended by Chapter 53, 2001 General Session
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