 
     53-6-702.  Definitions. As used in this part, the following definitions apply:
     (1)  "Commissioner" means the commissioner of insurance provided for in 2-15-1903.
     (2)  "Department" means the department of public health and human services.
     (3)  "Health maintenance organization" means a health maintenance organization as defined in 50-5-101.
     (4)  "Managed care community network" or "network" means an entity, other than a health maintenance organization, that is owned, operated, or governed by a person and that provides or arranges managed health care services under contract with the department to enrollees of the program.
     (5)  "Managed health care entity" or "entity" means a health maintenance organization or a managed care community network.
     (6)  "Person" means:
     (a)  an individual;
     (b)  a group of individuals;
     (c)  an insurer, as defined in 33-1-201;
     (d)  a health service corporation, as defined in 33-30-101;
     (e)  a corporation, partnership, facility, association, or trust; or
     (f)  an institution of a governmental unit of any state licensed by that state to provide health care, including but not limited to a physician, hospital, hospital-related facility, or long-term care facility.
     (7)  "Program" means the integrated health care program created by this part. 
     History: En. Sec. 2, Ch. 502, L. 1995. 
 


 
