Louisiana § RS 40:2222 - Certification of organizations providing qualified plans

Full text of Louisiana Louisiana Civil Code § RS 40:2222 — Certification of organizations providing qualified plans, with citation guidance and answers to common questions.

§ RS 40:2222. Certification of organizations providing qualified plans

A.  No health maintenance organization, health insurance organization, managed care organization, or other entity may contract with the state to provide a qualified plan to an enrollee unless so certified by the department.

B.  No health maintenance organization, health insurance organization, managed care organization, or other entity shall be certified to provide a qualified plan unless that plan meets minimum standards established by the department by the adoption and promulgation of rules and regulations in accordance with the Administrative Procedure Act.  Such standards shall include, but not be limited to:

(1)  Access to routine, urgent, and emergency care by enrollees.

(2)  Primary care including location, hours, waiting times, and access to care when needed.

(3)  Availability of specialty care.

(4)  Technical competence of health care providers.

(5)  Implementation of a peer review program.

(6)  Health and medical standards.

C.  Any qualified plan provider that fails to maintain the minimum standards as determined by the department shall be subject to penalties, including revocation of any authority to participate in the state program or a prohibition on enrolling any new member.

Acts 1995, No. 1211, §1, eff. June 29, 1995.

Source: official Louisiana text · Last verified 2026-08-27

Frequently Asked Questions About Louisiana § RS 40:2222

What does Louisiana Civil Code § RS 40:2222 cover?

Section RS 40:2222 ("Certification of organizations providing qualified plans") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Louisiana § RS 40:2222?

A common citation format is "Louisiana Civil Code § RS 40:2222" (Louisiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Louisiana law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.

How does Louisiana § RS 40:2222 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Louisiana.