| (a) As used in this subchapter, a managed care organization
is an entity holding a certificate of authority to operate as an HMO
under Insurance Code Chapter 843 (concerning Health Maintenance Organizations)
and Insurance Code Chapter 1271 (concerning Benefits Provided by Health
Maintenance Evidence of Coverage; Charges), or as an ANHC under Insurance
Code Chapter 844 (concerning Certification of Certain Nonprofit Health
Corporations).
(b) Any managed care organization or other entity providing
the services specified in 42 United States Code §1396b(m)(2)(A)
and participating in the State Medicaid Program or Children's Health
Insurance Program (CHIP) (MCO) must comply with the requirements of
Insurance Code §843.403 (concerning Minimum Net Worth) and §7.402
of this title (relating to Risk-Based Capital and Surplus Requirements
for Insurers and HMOs).
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