Florida Administrative Code (Last Updated: November 11, 2024) |
69. Department of Financial Services |
69O. OIR – Insurance Regulation |
69O-158. Exchange Of Medicaid Data With Insurers |
1The following definitions shall apply to this rule chapter:
10(1) “Office” shall mean the Office of Regulation.
18(2) “AHCA” shall mean the Agency for Health Care Administration.
28(3) “Insurer” shall mean an entity authorized by the Office to transact health insurance, multiple employer welfare arrangement, health maintenance organization, and prepaid health clinic insurance.
54(4) “Policy” shall mean health insurance policy, health maintenance contract as defined in Section 68641.19(5), F.S., 70prepaid health clinic contract as defined in Section 78641.402(6), F.S., 80and multiple employer welfare arrangement policy or contract issued pursuant to Sections 624.436-.446, F.S.
94(5) “Medical assistance” shall mean payment by AHCA for medical services to any person eligible for Medicaid or for assistance from the Public Medical Assistance Trust Fund pursuant to Section 124409.918, F.S.
126Rulemaking Authority 128409.910, 129624.308 FS. 131Law Implemented 133409.910, 134624.424(9), 135641.261, 136641.411 FS. 138History–New 11-14-89, Formerly 4-80.003, 4-158.003.