Chapter 141. Family Access to Medical Insurance Security PlanRead Chapter
- Part I.Read allGeneral Provisions
- Section 10
- Definitions
- Section 20
- Administration and general background
- Section 30
- Outreach and public participation
- Part II.Read allAppeal of Adverse Actions
- Section 40
- Appeal of adverse actions or adverse benefit determinations
- Section 50
- Notice of adverse action or adverse benefit determination
- Section 60
- Request for appeal
- Section 70
- Appeal procedures
- Section 80
- [Reserved]
- Part III.Read allEligibility Determination and Application Requirements
- Section 100
- General conditions of eligibility
- Section 110
- Duration of eligibility and renewal
- Section 120
- [Repealed]
- Section 130
- Nondiscriminatory provisions
- Section 140
- No entitlement
- Section 150
- Application requirements
- Part IV.Read allCost Sharing
- Section 160
- Copayments for families not participating in FAMIS Select
- Section 170
- [Repealed]
- Section 175
- FAMIS Select
- Section 180
- Liability for excess benefits; liability for excess benefits or payments obtained without intent; recovery of FAMIS payments
- Section 190
- [Reserved]
- Part V.Read allBenefits and Reimbursement
- Section 200
- Benefit packages
- Section 210
- [Reserved]
- Section 500
- Benefits reimbursement
- Section 510
- [Reserved]
- Part VI.Read allQuality Assurance and Utilization Control
- Section 560
- Quality assurance
- Section 570
- Utilization control
- Section 580
- [Reserved]
- Section 600
- Recipient audit unit
- Section 610
- [Reserved]
- Section 650
- Provider review
- Section 660
- Assignment to managed care
- Part VII.Read allFAMIS MOMS
- Section 670
- Definitions
- Section 680
- Administration and general background
- Section 690
- Outreach and public participation
- Section 700
- Appeal of adverse actions or adverse benefit determinations
- Section 710
- Notice of adverse action or adverse benefit determination
- Section 720
- Request for appeal
- Section 730
- Appeal procedures
- Section 740
- General conditions of eligibility
- Section 750
- Duration of eligibility
- Section 760
- Pregnant women ineligible for FAMIS MOMS
- Section 770
- Nondiscriminatory provisions
- Section 780
- No entitlement
- Section 790
- Application requirements
- Section 800
- Copayments
- Section 810
- Liability for excess benefits
- Section 820
- Benefit packages
- Section 830
- Benefits reimbursement
- Section 840
- Quality assurance
- Section 850
- Utilization control
- Section 860
- Recipient audit unit
- Section 870
- Provider review
- Section 880
- Assignment to managed care