Statutes, codes, and regulations
District Of Columbia Administrative Code
Title 22 - HEALTHSubtitle 22-B - PUBLIC HEALTH AND MEDICINE
Chapter 22-B55 - STANDARDS FOR PREPAID PROVIDERS QUALIFYING TO SERVE DISTRICT OF COLUMBIA MEDICAID RECIPIENTS
Rule 22-B5500 - PURPOSE

D.C. Mun. Regs. tit. 22, r. 22-B5500

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Current through Register Vol. 71, No. 52, December 27, 2024
Rule 22-B5500 - PURPOSE
5500.1

The purpose of this chapter is to set forth the standards under which a Health Maintenance Organization (HMO) or other health care provider may qualify to serve District Medicaid recipients on a prepaid basis.

5500.2

Organizations willing and able to offer quality health care services to voluntarily enrolled subscribers for a fixed prepaid fee, including HMOs, preferred provider organizations, community health centers, insurance companies, and physician groups, are referred to throughout these standards as Qualifying Organizations (QOs).

5500.3

Only organizations meeting the criteria in these standards shall qualify for consideration as prepaid providers for District Medicaid recipients.

D.C. Mun. Regs. tit. 22, r. 22-B5500

Final Rulemaking published at 34 DCR 1550 (March 6, 1987)
AUTHORITY: Unless otherwise noted, the authority for this chapter is D.C. Code, 2001 Ed. § 1-307.02; and Reorganization Plan No. 2 of 1979, 3 D.C. Code, 2001 Ed. at 338.