609.36(1)

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(1) Information and data reporting.

609.36(1)(a)4.

4. Participating providers.

609.36

609.36 Data systems and confidentiality.

609.36(1)(a)

(a) A defined network plan shall provide to the commissioner information related to all of the following:

609.36(1)(a)1.

1. The structure of the plan.

609.36(1)(a)2.

2. Health care benefits and exclusions.

609.36(1)(a)3.

3. Cost-sharing requirements.

609.36(1)(b)

(b) Subject to sub. (2), the information and data reported under para. (a) shall be open to public inspection under §§ 19.31 to 19.39.

609.36(2)

(2) Confidentiality. A defined network plan shall establish written policies and procedures, consistent with §§ 51.30, 146.82, and 252.15, for the handling of medical records and enrollee communications to ensure confidentiality.