(1) Except for exemptions specifically granted under this title, a managed care organization is subject to regulation under all of the provisions of this title.
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Terms Used In Utah Code 31A-45-201

  • Health care: means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:
         (83)(a) a professional service;
         (83)(b) a personal service;
         (83)(c) a facility;
         (83)(d) equipment;
         (83)(e) a device;
         (83)(f) supplies; or
         (83)(g) medicine. See Utah Code 31A-1-301
  • Managed care organization: means :
         (2)(a) a managed care organization as that term is defined in Section 31A-1-301; and
         (2)(b) a third party administrator as that term is defined in Section 31A-1-301. See Utah Code 31A-45-102
(2) The commissioner may by rule waive other specific provisions of this title that the commissioner considers inapplicable to managed care organizations, upon a finding that the waiver will not endanger the interests of:

     (2)(a) enrollees;
     (2)(b) investors;
     (2)(c) the public; or
     (2)(d) health care providers.
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