Rules and Regulations of the State of Georgia
 

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  • 1. In the address bar, type about:config and press Enter.
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<xmp>.</xmp> <form name="form1" method="post" action="120-2-68?urlRedirected=yes&amp;data=admin&amp;lookingfor=120-2-68" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTY5ODkwOTM2Nw8WAh4Ec3BhbQIFFgJmD2QWAgIFDw8WAh4EVGV4dAUFNCArIDFkZGQPvJCDcW4djbLiqwcwPmpXTOAVwg==" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EEBB6393" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEWCAKUoK7JDALniKOhBALV5cpNAoa5iIEFAoznisYGAsrv5u0MAsrv4u0MAsrv3u0MgrTExsqblsLWLt8/LdsPwVXtPfA=" /> <div class='popup'> <div class='cnt223'> <div style="margin-bottom:6px;"> <img alt="Rules and Regulations of the State of Georgia" src="/images/new.gif"/> </div> <div class="header"> Terms and Conditions of Agreement for Access to Rules and Regulations of the State of Georgia Website </div> <div class="scroll"> <p>(Note: certain features of this site have been disabled for the general public to prevent digital piracy. If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website. </p> <p> You agree that you will not sell or license anything that you download, print, or copy from this website.</p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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C. G. A. Sections <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-2-9&amp;title=33#" target="_newtab">33-2-9</a>, 33-29-3.4 and 33-30-4.5.</P> <h2><a href="/GAC/120-2-68-.02" name="120-2-68-.02" title="120-2-68-.02">Rule 120-2-68-.02 Purpose</a></h2> <P>The purpose of this Regulation Chapter is to set forth guidelines to assist in the implementation of Section 3.4 of Chapter 29 of Title 33 of the Official Code of Georgia Annotated and Section 4.5 of Chapter 30 of Title 33 of the Official Code of Georgia Annotated.</P> <h2><a href="/GAC/120-2-68-.03" name="120-2-68-.03" title="120-2-68-.03">Rule 120-2-68-.03 Applicability and Scope</a></h2> <P>Except as otherwise specifically provided, this Regulation Chapter shall apply to all insurers issuing policies or contracts of individual or group accident and sickness insurance, including conversion policies or contracts, which provide basic medical or hospital expenses, major medical, and comprehensive medical expense coverages.</P> <h2><a href="/GAC/120-2-68-.04" name="120-2-68-.04" title="120-2-68-.04">Rule 120-2-68-.04 Definitions</a></h2> <P>For the purpose of this Regulation Chapter, the following definitions shall apply:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.04(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Child Wellness services shall mean the periodic review of a child's physical and emotional status conducted by a physician or conducted pursuant to a physician's supervision, but shall not include periodic dental examinations or other dental services. The review shall include a medical history, complete physical examination, developmental assessment, appropriate immunizations, anticipatory guidance for the parent or parents, and laboratory testing in keeping with the standards outlined in the prevailing Recommendations for Preventive Pediatric Health Care as established by the American Academy of Pediatrics.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.04(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Periodic Review shall mean at intervals outlined in the prevailing Recommendations for Preventive Pediatric Health Care as established by the American Academy of Pediatrics.</td> </tr> </table> <h2><a href="/GAC/120-2-68-.05" name="120-2-68-.05" title="120-2-68-.05">Rule 120-2-68-.05 Basic Coverage for Child Wellness Services</a></h2> <P>Benefits for the preventive care of children from birth through the age of five (5) years shall be consistent with the prevailing Recommendations for Preventive Pediatric Health Care. The following services shall be included in basic coverage for child wellness services:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Medical history;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Measurement of height, weight and head circumference;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Testing of blood pressure;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Sensory screening including vision and hearing;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Hereditary and metabolic screening in accordance with state law;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Developmental/behavioral assessment;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Immunizations consistent with prevailing American Academy of Pediatric Committee statements;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(h)">(h)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Tuberculin test;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(i)">(i)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Hematocrit or hemoglobin;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(j)">(j)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Urinalysis;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-68-.05(k)">(k)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Anticipatory guidance.</td> </tr> </table> <h2><a href="/GAC/120-2-68-.06" name="120-2-68-.06" title="120-2-68-.06">Rule 120-2-68-.06 Penalties</a></h2> <P>Any insurer, representative, officer, or employee of such insurer failing to comply with the requirements of this Regulation Chapter shall be subject to such penalties and other enforcement actions as may be appropriate under the insurance laws of this State.</P> <h2><a href="/GAC/120-2-68-.07" name="120-2-68-.07" title="120-2-68-.07">Rule 120-2-68-.07 Severability</a></h2> <P>If any provision of this Regulation Chapter or the application thereof to any person or circumstance is for any reason held to be invalid by a court of competent jurisdiction, the remainder of the Regulation Chapter or the applicability of such provision to other persons or circumstances shall not be affected.</P> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/120-2-68-.01" name="120-2-68-.01" title="120-2-68-.01">Rule 120-2-68-.01 Authority</a></li><li><a href="/GAC/120-2-68-.02" name="120-2-68-.02" title="120-2-68-.02">Rule 120-2-68-.02 Purpose</a></li><li><a href="/GAC/120-2-68-.03" name="120-2-68-.03" title="120-2-68-.03">Rule 120-2-68-.03 Applicability and Scope</a></li><li><a href="/GAC/120-2-68-.04" name="120-2-68-.04" title="120-2-68-.04">Rule 120-2-68-.04 Definitions</a></li><li><a href="/GAC/120-2-68-.05" name="120-2-68-.05" title="120-2-68-.05">Rule 120-2-68-.05 Basic Coverage for Child Wellness Services</a></li><li><a href="/GAC/120-2-68-.06" name="120-2-68-.06" title="120-2-68-.06">Rule 120-2-68-.06 Penalties</a></li><li><a href="/GAC/120-2-68-.07" name="120-2-68-.07" title="120-2-68-.07">Rule 120-2-68-.07 Severability</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 2019 Lawriter LLC - All rights reserved.</span>| <a href="mailto:support@casemakerlegal.com?subject=Rules and Regulations of the State of Georgia">Email Us</a> | 844-838-0769 | <a href="http://livechat.casemakerlegal.com/client.php?locale=en" target="_blank" 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