Subtitle 304.17C - LIMITED HEALTH SERVICE BENEFIT PLANS
- Section 304.17C-010 - Definitions for subtitle
- Section 304.17C-020 - Discrimination prohibited against willing provider located in area
- Section 304.17C-030 - Disclosure
- Section 304.17C-040 - Availability of provider network
- Section 304.17C-050 - Standards for providers - Mechanism for acting upon applications - Policy governing removal of providers from network
- Section 304.17C-060 - Filing of agreements - Provisions of agreements - Procedures for changing agreement - Filing of risk-sharing arrangements and subcontracts - Availability of information
- Section 304.17C-070 - Prohibition of contract to limit disclosure to enrollee - Actions for which provider may not be penalized - Disclosure of arrangements between plan and providers
- Section 304.17C-080 - Plan for selection and reevaluation of providers
- Section 304.17C-085 - Definitions for section - Set fees for noncovered services in participating provider agreement prohibited - Provider charges limited to provider's rate for services and materials - Contractual discount for covered services - Reimbursement
- Section 304.17C-090 - Payment of claims of dental-only benefits - Reports - Interest
- Section 304.17C-100 - Payment for coverage of services within scope of practice of optometrists
- Section 304.17C-110 - Limitation on amount of copayment or coinsurance charged for services rendered by chiropractor or optometrist
- Section 304.17C-120 - Prescription eye drops coverage to include refills and additional bottle if conditions met
- Section 304.17C-125 - [Effective Until 1/1/2025] Coverage for orchiectomy or orchidectomy
- Section 304.17C-125 - [Effective 1/1/2025] Coverage for orchiectomy or orchidectomy
- Section 304.17C-130 - Definitions for KRS 304.17C-130 to 304.17C-138
- Section 304.17C-132 - Definitions for section - Third party access to provider network contract - Prohibition against dental carrier contract cancellation
- Section 304.17C-134 - Conditions for dental benefit plan denial of claims requiring prior authorization
- Section 304.17C-136 - Definitions for section - Prohibition against payment method restrictions for dental benefit plan - Electronic fund transfer payments
- Section 304.17C-138 - Prohibition of contractual waiver of KRS 304.17C-130 to 304.17C-138