Certificate of authority: Evaluation of application.
1. Upon receipt of an application for issuance of a certificate of authority, the Commissioner shall forthwith transmit copies of such application and accompanying documents to the State Board of Health.
2. The State Board of Health shall determine whether the applicant for a certificate of authority, with respect to health care services to be furnished:
(a) Has demonstrated the willingness and ability to assure that such health care services will be provided in a manner to assure both availability and accessibility of adequate personnel and facilities and in a manner enhancing availability, accessibility and continuity of service;
(b) Has organizational arrangements, established in accordance with regulations promulgated by the State Board of Health; and
(c) Has a procedure established in accordance with regulations of the State Board of Health to develop, compile, evaluate and report statistics relating to the cost of its operations, the pattern of utilization of its services, the availability and accessibility of its services and such other matters as may be reasonably required by the State Board of Health.
3. Within 90 days of receipt of the application for issuance of a certificate of authority, the State Board of Health shall certify to the Commissioner whether the proposed health maintenance organization meets the requirements of subsection 2. If the State Board of Health certifies that the health maintenance organization does not meet such requirements, it shall specify in what respects it is deficient.
Last modified: February 27, 2006