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19 chapters · 2,278 sections in this title.
Fla. Stat. § 641.511 Subscriber grievance reporting and resolution requirements
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(1) Every organization must have a grievance procedure available to its subscribers for the purpose of addressing complaints and grievances. Every organization must notify its subscribers that a subscriber must submit a grievance within 1 year after the date of occurrence of the …
Fla. Stat. § 641.512 Accreditation and external quality assurance assessment
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(1)(a) To promote the quality of health care services provided by health maintenance organizations and prepaid health clinics in this state, the office shall require each health maintenance organization and prepaid health clinic to be accredited within 1 year of the organization’…
Fla. Stat. § 641.513 Requirements for providing emergency services and care
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(1) In providing for emergency services and care as a covered service, a health maintenance organization may not:(a) Require prior authorization for the receipt of prehospital transport or treatment or for emergency services and care.(b) Indicate that emergencies are covered only…
Fla. Stat. § 641.514 Coverage for air ambulance services
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1(1) As used in this section, the term:(a) “Air ambulance service” has the same meaning as provided in s. 401.23.(b) “Health maintenance organization” has the same meaning as provided in s. 641.19(12).(c) “Reasonable reimbursement” means reimbursement that considers the direct co…