4123-6-034 MCO participation in the HPP - MCO certification.

(A) Upon review by and satisfactory to the bureau that the managed care organization has met bureau certification standards, and upon the execution of an MCO contract between the bureau and the managed care organization, the bureau shall certify an MCO for participation in the HPP.

(B) MCO certification by the bureau in the HPP shall be for a period of two years. Upon approval by the bureau, an MCO may expand its coverage area after the first year of participation in the HPP and every year thereafter.

(C) The bureau may certify any number of MCOs for each county or statewide.

(D) The bureau shall maintain a current list of all bureau-certified MCOs. The list shall include the name and address of each MCO and the counties in which the MCO is certified for participation in the HPP.

(E) A managed care organization not certified shall cure any defects in the MCO application for certification within thirty days of notice by the bureau.

Effective date: Feb. 16, 1996