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Rule: 37.86.5036 Prev     Up     Next    
Rule Title: HEALTH MAINTENANCE ORGANIZATIONS: THIRD PARTY
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Department: PUBLIC HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Chapter: MEDICAID PRIMARY CARE SERVICES
Subchapter: Health Maintenance Organizations (HMO)
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.86.5036    HEALTH MAINTENANCE ORGANIZATIONS: THIRD PARTY

(1) The HMO is responsible for investigating third party resources and seeking payment from these sources.

(2) The HMO may retain all funds collected from third party resources.

(3) A complete record of all payments received from third party sources must be maintained and reported as required in the contract.

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. 2155, Eff. 9/29/95; TRANS, from SRS, 2000 MAR p. 481.


 

 
MAR Notices Effective From Effective To History Notes
9/29/1995 Current 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. 2155, Eff. 9/29/95; TRANS, from SRS, 2000 MAR p. 481.
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