37.86.5026    HEALTH MAINTENANCE ORGANIZATIONS: RECORDS AND CONFIDENTIALITY

(1) An HMO must comply with the provisions of ARM 37.86.414 regarding maintenance and retention of medical and fiscal records.

(2) An HMO must submit reports and maintain records as required in the contract with the department.

(3) An HMO must have in effect arrangements to provide for an adequate medical record-keeping system which includes a complete medical record for each enrollee in accordance with provisions set forth in the contract. The complete medical record may be maintained by an HMO's participating provider.

(4) HMOS, participating providers, and the department are subject to the disclosure requirements of Title 50, chapter 16, MCA, and 33-19-306 , MCA.

History: Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-2-201, 53-6-101, 53-6-113 and 53-6-116, MCA; NEW, 1995 MAR p. 1974, Eff. 9/29/95; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 866, Eff. 3/31/00.