Fed Regist. 1983 Jan 12;48(8):1301-3.
This notice amends the Public Health Service regulations on Federal qualification of health maintenance organizations [HMOs]. The purpose is to provide greater flexibility for already existing prepaid health care delivery systems to become transitionally qualified HMOs. Adoption of this amendment wil allow entities operating these systems to satisfy the requirement that basic health services be provided to members by demonstrating that members enrolled at the time of transitional qualification receive hospital services or are insured for hospital services through an arrangement not made by the HMO.
本通知修订了公共卫生服务局关于健康维护组织(HMO)联邦资质认定的规定。目的是为现有的预付医疗服务提供系统提供更大灵活性,使其能够成为过渡性合格的健康维护组织。采用本修正案将允许运营这些系统的实体通过证明在过渡性资质认定时登记的成员获得医院服务,或通过健康维护组织以外的安排为医院服务投保,来满足向成员提供基本医疗服务的要求。