(1) An applicant that has received approval of the preliminary application is eligible to submit a final application for certification as a MCO.

(2) A final application consists of the following elements:

(a) the approved preliminary application on file with the department;

(b) the name, title, address and telephone number of a contact person who will act as liaison between the department and the MCO;

(c) the name, title, address, and duties of the person who will be the day-to-day administrator of the MCO;

(d) the name, address, medical specialty, and duties, of the medical director, if any, of the MCO;

(e) a list of the name of each individual required by 24.29.2331(1) , (2) , and (3) , who will provide services under the plan;

(f) the name and professional address of each individual who is eligible to be designated as a treating physician;

(g) the name, of each individual, if any, who will coordinate medical services; and

(h) a signed statement from the medical director or dayto-day administrator of the MCO certifying that all persons who are required to hold a current professional license or certification to render services under the plan are properly licensed or certified by the state of Montana.

(3) Any portion of the final application (other than portions previously identified in the preliminary application) that the applicant believes in good faith to be a trade secret, protected by the Uniform Trade Secrets Act (Title 30, chapter 14, part 4, MCA) , must be clearly identified as such by the applicant. Any portion of the final application which is not specifically identified as a trade secret is subject to public inspection and disclosure. In the event that a person seeks disclosure of information that is identified as a trade secret, the department will determine whether the individual right to privacy is outweighed by the public right to know, and whether an appropriate protective order can be fashioned to permit disclosure in a way that does not injure the property rights of the applicant.

History: Sec. 39-71-203, 39-71-1103 and 39-71-1105 MCA; IMP, Sec. 39-71-224, 39-71-1103 and 39-71-1105 MCA; NEW, 1994 MAR p. 420, Eff. 3/1/94.