§ 122.622. Prohibition of risk-transfer to CCOs.

 A CCO may not accept financial risk for the provision of services to injured workers without securing appropriate licensure under the laws of the Commonwealth as a risk-assuming insurer, establishing appropriate systems to guard against the potential for undertreatment or poor quality care arising out of the incentive to minimize financial risk, and securing specific prior review and approval by the Department to assume the financial risk for the provision of services as a CCO.

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