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Resource Use (Cost/Utilization) Measurement and Reporting in Georgia

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Resource Use (Cost/Utilization) Measurement and Reporting in Georgia

Subtopic Statute/Regulation Description
Financial information data collection Annual Report of the Association, Ga. Code Ann. § 33-38-12 Annual Report of the Association
Disclosure of Annual Statements, Ga. Code Ann. § 33-45-10 Disclosure of Annual Statements
Disclosure of Ownership and Financial Interests to Patients, Ga. Code Ann. § 43-1B-5 Disclosure of Ownership and Financial Interests to Patients
Exemption of Insurance from Creditors, Ga. Code Ann. § 33-29-15 Exemption of Insurance from Creditors
Health Insurance Information Obtained for Report, Ga. Code Ann. § 33-24-64 Health Insurance Information Obtained for Report
HMO's Annual Report, Ga. Code Ann. § 33-21-15 HMO's Annual Report
Medicaid Fiscal Year Report, Ga. Code Ann. § 33-21A-11 Medicaid Fiscal Year Report
Pharmaceutical Services, Ga. Code Ann. § 33-51-6 Pharmaceutical Services
Reimbursement for Health Care Service Expenditures, Ga. Code Ann. § 33-30B-6 Reimbursement for Health Care Service Expenditures
Sources of Payment of Cost of Care, Ga. Code Ann. § 37-9-9 Sources of Payment of Cost of Care
Spending Account Plan for Group or Individual, Ga. Code Ann. § 33-30B-4 Spending Account Plan for Group or Individual
Provider cost reporting Cancer Care Program Established, Ga. Code Ann. § 31-15-2 Cancer Care Program Established
Creation of Georgia Health Insurance Assignment System, Ga. Code Ann. § 33-29A-4 Creation of Georgia Health Insurance Assignment System
Direct Payment of Medical Services, Ga. Code Ann. § 33-30-5 Direct Payment of Medical Services
Financial Incentive Programs, Ga. Code Ann. § 33-20A-6 Financial Incentive Programs
Health Care Provider or Services Regulated by Federal Law, Ga. Code Ann. § 43-1B-8 Health Care Provider or Services Regulated by Federal Law
Health Plan Bond Payments, Ga. Code Ann. § 33-30A-8 Health Plan Bond Payments
Medicaid Breach of Contract Damages, Ga. Code Ann. § 33-21A-5 Medicaid Breach of Contract Damages
Medicaid CMO Payment for Services, Ga. Code Ann. § 33-21A-4 Medicaid CMO Payment for Services
Medicare Standards for Policy Provisions, Ga. Code Ann. § 33-43-3 Medicare Standards for Policy Provisions
All-payer claims database Filing and Settling Claims, Ga. Code Ann. § 33-31-10 Filing and Settling Claims
Required utilization/cost reporting Insurance Books and Records, Ga. Code Ann. § 33-22-7 Insurance Books and Records
Insurance Coverage for Children Services, Ga. Code Ann. § 33-29-3.4 Insurance Coverage for Children Services
Use of Funds, Ga. Comp. R. & Regs. 111-3-6-.03 Use of Funds
Access to health care cost information Right of Patient to Inquire About Cost of Treatment Prior to Treatment, Ga. Code Ann. § 43-34A-5 Right of Patient to Inquire About Cost of Treatment Prior to Treatment
Click on the individual state law in the table above to see our summary of the individual law.


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