Mont. Code Ann. §33-31-102 — what it says, and how the exam tests it

33-31-102. Definitions. As used in this chapter, unless the context requires otherwise, the following definitions apply: (1) "Accountable care organization" means a group of health care providers that are willing and capable of accepting accountability for the total cost and quality of care for a defined population. (2) "Affiliation period" means a period that, under the terms of the health insurance coverage offered by a health maintenance organization, must expire before the health insurance coverage becomes effective. (3) "Basic health care services" means: (a) consultative, diagnostic, therapeutic, and referral services by a provider; (b) inpatient hospital and provider care; (c) outpatient medical services; (d) medical treatment and referral services; (e) accident and sickness services by a provider to each newborn infant of an enrollee pursuant to 33-31-301(3)(e); (f) care and treatment of mental illness, alcoholism, and drug addiction; (g) diagnostic laboratory and diagnostic and therapeutic radiologic services; (h) preventive health services, including: (i) immunizations; (ii) well-child care from birth; (iii) periodic health evaluations for adults; (iv) voluntary family planning services; (v) infertility services; and (vi) children's eye and ear examinations conducted to determine the need for vision and hearing correction; (i) minimum mammography examination, as defined in 33-22-132; (j) outpatient self-management training and education for the treatment of diabetes along with certain diabetic equipment and supplies as provided in 33-22-129; and (k) treatment and medical foods for inborn errors of metabolism. "Medical foods" and "treatment" have the meanings provided for in 33-22-131. (4) "Commissioner" means the commissioner of insurance of the state of Montana. (5) "Dependent" has the meaning provided in 33-22-140. (6) "Enrollee" means a person: (a) who enrolls in or contracts with a health maintenance organization; (b) on whose behalf a contract is made with a health maintenance organization to receive health care services; or (c) on whose behalf the health maintenance organization contracts to receive health care services. (7) "Evidence of coverage" means a certificate, agreement, policy, or contract issued to an enrollee setting forth the coverage to which the enrollee is entitled. (8) "Health care services" means: (a) the services included…