§ 353. Preferred provider organizations; licensing. To be licensed as\na preferred provider organization any entity, except any organization\nwhich provides limited health care services, shall make an application\nto the commissioner of health and shall submit therewith an application\nfee of five hundred dollars. Such application shall be accompanied by\nthe information prescribed in regulation. Such information shall include\nbut not be limited to the following:\n 1. the standards by which the providers participating in the preferred\nprovider organization shall be selected;\n 2. the names and credentials of all individuals and organizations that\nwill provide service under the preferred provider organization, together\nwith appropriate evidence of compliance with all licensing or\ncertification requirements for such individuals or organizations to\npractice in this state;\n 3. a description of any final disposition of professional misconduct\ncharges against any of the individuals or organizations which will\nprovide medical or other health care services under the preferred\nprovider organization program;\n 4. the names and professional qualifications of providers licensed by\nthe board in each medical specialty;\n 5. the names and certifications of hospitals from which employees may\nchoose in the event that hospitalization is necessary;\n 6. a description of the times, places and manner of providing services\nunder the preferred providers organization;\n 7. a detailed description of procedures to be followed by the\npreferred providers organization for ongoing quality assurance,\nutilization review and dispute resolution.\n Each preferred provider organization formed pursuant to this article\nshall comply with the provisions of sections forty-four hundred eight,\nforty-four hundred eight-a, forty-four hundred six-c, forty-four hundred\nsix-d, subdivisions five and six of section forty-four hundred three and\narticle forty-nine of the public health law. The commissioner of\nhealth, in consultation with the chair of the workers' compensation\nboard may waive or modify the application of these provisions to such\norganizations where appropriate.\n
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