58-17-131 Disease management programs--Cost containment mechanisms--Enrollee non-participation and e...
58-17-131.
Disease management programs--Cost containment mechanisms--Enrollee
non-participation and expense responsibility.
Each plan shall include disease management programs
that contain cost containment mechanisms. If the enrollee does not enroll and participate in the
applicable cost containment activities, the enrollee is responsible for fifty percent of the eligible
expenses for related services after the deductible is met, and there is no maximum out-of-pocket
coinsurance amount.
Source: SL 2003 (SS), ch 1, § 19.
Chapter 58-17