(1) As used in this subchapter:(1) “Crisis stabilization unit” means the same as defined in § 20-47-803;(2) (A) “Health benefit plan” means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.(B) “Health benefit plan” includes a nonfederal self-funded governmental plan.(C) “Health benefit plan” does not include a plan that includes only dental benefits or eye and vision care benefits;(3) (A) “Healthcare insurer” means an entity that:(i) Is subject to state insurance regulation, including without limitation an insurance company, a health maintenance organization, a hospital and medical service corporation, a risk-based provider organization, and a sponsor of a nonfederal self-funded governmental plan; or(ii) Has subscribers in this state.(B) “Healthcare insurer” includes Medicaid if Medicaid services are managed or reimbursed by a healthcare insurer.(C) “Healthcare insurer” does not include:(i) A workers' compensation plan; or(ii) An entity that provides only dental benefits or eye and vision care benefits;(4) “Healthcare provider” means:(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or(B) A healthcare facility licensed in the state where the facility is located to provide healthcare services;(5) “Healthcare service” means a healthcare procedure, treatment, or service provided by a healthcare provider; and(6) “Medicaid” means the state-federal medical assistance program established by Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq.
(1) “Crisis stabilization unit” means the same as defined in § 20-47-803;
(2) (A) “Health benefit plan” means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.(B) “Health benefit plan” includes a nonfederal self-funded governmental plan.(C) “Health benefit plan” does not include a plan that includes only dental benefits or eye and vision care benefits;
(A) “Health benefit plan” means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.
(B) “Health benefit plan” includes a nonfederal self-funded governmental plan.
(C) “Health benefit plan” does not include a plan that includes only dental benefits or eye and vision care benefits;
(3) (A) “Healthcare insurer” means an entity that:(i) Is subject to state insurance regulation, including without limitation an insurance company, a health maintenance organization, a hospital and medical service corporation, a risk-based provider organization, and a sponsor of a nonfederal self-funded governmental plan; or(ii) Has subscribers in this state.(B) “Healthcare insurer” includes Medicaid if Medicaid services are managed or reimbursed by a healthcare insurer.(C) “Healthcare insurer” does not include:(i) A workers' compensation plan; or(ii) An entity that provides only dental benefits or eye and vision care benefits;
(A) “Healthcare insurer” means an entity that:(i) Is subject to state insurance regulation, including without limitation an insurance company, a health maintenance organization, a hospital and medical service corporation, a risk-based provider organization, and a sponsor of a nonfederal self-funded governmental plan; or(ii) Has subscribers in this state.
(i) Is subject to state insurance regulation, including without limitation an insurance company, a health maintenance organization, a hospital and medical service corporation, a risk-based provider organization, and a sponsor of a nonfederal self-funded governmental plan; or
(ii) Has subscribers in this state.
(B) “Healthcare insurer” includes Medicaid if Medicaid services are managed or reimbursed by a healthcare insurer.
(C) “Healthcare insurer” does not include:(i) A workers' compensation plan; or(ii) An entity that provides only dental benefits or eye and vision care benefits;
(i) A workers' compensation plan; or
(ii) An entity that provides only dental benefits or eye and vision care benefits;
(4) “Healthcare provider” means:(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or(B) A healthcare facility licensed in the state where the facility is located to provide healthcare services;
(A) A doctor of medicine, a doctor of osteopathy, or another licensed healthcare professional acting within the healthcare professional's licensed scope of practice; or
(B) A healthcare facility licensed in the state where the facility is located to provide healthcare services;
(5) “Healthcare service” means a healthcare procedure, treatment, or service provided by a healthcare provider; and
(6) “Medicaid” means the state-federal medical assistance program established by Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq.