[Federal Register Volume 59, Number 150 (Friday, August 5, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-19110]


[[Page Unknown]]

[Federal Register: August 5, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[OMC-020-N]

 

Health Maintenance Organizations: Qualification Determinations 
During the Period January 1, 1994 through March 31, 1994

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice.

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SUMMARY: This notice sets forth the names, addresses, service areas or 
modified service areas, and dates of qualification or expansion of 
entities determined to be Federally qualified health maintenance 
organizations (FQHMOs) during the period January 1, 1994 through March 
31, 1994. This notice is published in accordance with our regulations 
at 42 CFR 417.144 and 417.163, which require publication in the Federal 
Register of certain determinations relating to FQHMOs.

FOR FURTHER INFORMATION CONTACT: Christine Boesz, (202) 619-0840.

SUPPLEMENTARY INFORMATION:

A. Qualification Determinations

    As part of our evaluation and determination of whether an entity 
qualifies as a Federally qualified health maintenance organization 
(FQHMO), our regulations set forth at 42 CFR 417.144(e), promulgated 
under title XIII of the Public Health Service Act (the Act) (42 U.S.C. 
300e), require publication in the Federal Register of the names, 
addresses, and descriptions of the service areas of new FQHMOs. We 
interpret this requirement as applying to revisions of service areas of 
currently approved FQHMOs, as well. Our last notice containing this 
information was published on April 20, 1994 (59 FR 1021).
    There are three categories of FQHMOs: operational qualified, 
transitional qualified, and preoperational qualified. These terms are 
defined in 42 CFR 417.141.
    HCFA has determined that the following entity is an operational 
FQHMO under section 1310(d) of the Act (42 U.S.C. 300e-9(d)) and has 
expanded its previously qualified service area:

Expansion and Addition of Service Area Regional Components by Existing 
FQHMOs

Intergroup Prepaid Health Services (Intergroup)

(Individual Practice Association Model; Requirements are set forth at 
sections 1302(5) and 1310(b)(2)(a) of the Act), 1010 N. Finance Center 
Drive, Suite 200, Tucson, Arizona 85710. Intergroup's approved 
Federally qualified expansion includes the remainder of Pinal County 
and the entire Counties of Santa Cruz, Cochise, Gila, Graham, and 
Greenlee. Date of qualification for service area expansion: March 3, 
1994.

B. Compliance Actions

    HCFA gives notice of compliance actions affecting FQHMOs. No 
compliance actions occurred during January 1, 1994 through March 31, 
1994.

C. Availability of Additional Information

    A cumulative list of FQHMOs and additional information may be 
obtained by writing to the following address: Health Care Financing 
Administration, Office of Managed Care, Room 4406 Cohen Building, 330 
Independence Avenue, SW., Washington, DC 20201.
    The list also may be obtained by visiting that office between the 
hours of 8:30 A.M. and 4:30 P.M. Monday through Friday, except for 
Federal holidays. Interested persons should contact Margie Sharif for 
an appointment by telephoning (202) 619-0845.

    Authority: Title XIII of the Public Health Service Act (42 
U.S.C. 300e).

    Dated: July 5, 1994.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 94-19110 Filed 8-4-94; 8:45 am]
BILLING CODE 4120-01-P