“Organization for managed care” defined. “Organization for managed care” means any person who:
1. Provides or arranges for the provision of medical and health care services;
2. Establishes objectives, standards and protocols for such services;
3. Organizes providers of health care to ensure the availability and accessibility of such services; and
4. Establishes a system that allows for the submission of reports to an insurer that are necessary to evaluate the effectiveness and cost of delivering medical and health care services to injured employees.
Last modified: February 25, 2006