Exam Code: TMMI-P_IND
Exam Name: TMMi Professional (IND only)
Certification: iSQI Other Certification
Total Questions: 137 Q&A
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NEW QUESTION: 1
With regard to the laws and regulations on access and adequacy of provider networks, it can correctly be stated that:
A. any willing provider laws prevent a health plan from making exclusive or semi-exclusive arrangements with a provider or a group of providers
B. corporate practice of medicine laws require staff model HMOs to hire physicians directly, even if the physicians do not own the HMO
C. the NAIC Managed Care Plan Network Adequacy Model Act requires states to use provider-enrollee ratios as the sole measure of network adequacy
D. most access and adequacy guidelines relate to preferred provider organizations (PPOs) or managed indemnity products