PART II. REQUIREMENTS OF BASIC BENEFIT SERVICES

PROVIDED PURSUANT TO A HEALTH CARE COST

CONTROL PROGRAM

§2211. Definitions

           For the purposes of this Part:

           (1) "Department" means the Louisiana Department of Health.

           (2) "Enrollee" means any Medicaid recipient or indigent, uninsured, or underinsured person enrolled in a qualified plan for the provision of health care services whose enrollment costs are paid wholly or in part by the state under a federal waiver to the Medicaid program.

           (3) "Qualified plan" means a basic benefits plan that may be established under a health maintenance organization, health insurance organization, or managed care organization that contracts with the state to provide or coordinate the provision of health care services to an enrollee.

           Acts 1995, No. 621, §1, eff. June 18, 1995.