Rules and regulations

The department shall provide necessary rules and regulations for the implementation and operation of this article. History. — Code 1981, § 33-20A-41, enacted by Ga. L. 1999, p. 350, § 3; Ga. L. 2005, p. 1438, § 2/SB 140. 33-20A-42. Grievance procedures and hearings for Medicaid care management members. Medicaid care management members shall, after first exhausting the grievance procedure of the managed care plan providing health care benefits pursuant to Article 7 of Chapter 4 of Title 49 or Article 13 of Chapter 5 of Title 49, be afforded the fair hearing rights provided pursuant to Code Section 49-4-153 or the state plan provided for in Article 13 of Chapter 5 of Title 49. History. — Code 1981, § 33-20A-42, enacted by Ga. L. 2005, p. 1438, § 2/SB 140. ARTICLE 3 MANAGED HEALTH CARE PLANS Editor’s notes. — Ga. L. 2002, p. 441, § 1, not codified by the General Assembly, provides that: ‘‘This Act shall be known and may be cited as the ‘Consumers’ Health Insurance Protection Act.’ ’’ Ga. L. 2002, p. 441, § 11, not codified by the General Assembly, provides that: ‘‘This Act shall apply only to health benefit plan contracts issued, delivered, issued for delivery, or renewed in this state on or after October 1, 2002; provided, however, that Section 8 of this Act shall apply to all claims relating to health care services provided on or after July 1, 2002. Any carrier, plan, network, panel, or agent thereof conducting a post-payment audit or imposing a retroactive denial on any claim initially submitted prior to July 1, 2002, shall, no later than June 30, 2003, provide written notice to the claimant of the intent to conduct such an audit or impose such a retroactive denial of any such claim or part thereof, including the specific reason for the audit or denial and 819 T.33, C.20A, A.3 INSURANCE shall complete the audit or retroactive denial and provide notice to the claimant of any payment or refund due prior to January 1, 2004.’’ The reference to Section 33-20A-60 8 of the Act apparently should be to Section 9 of the Act, which enacted Article 3 of this chapter. 33-20A-60. Definitions.