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.