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Ama Policy

Amendments to Managed Care Contracts H-285.952

03/13/2019
Amendments, Continuity of Care Post-Contract
Ama Policy

Requiring Third Party Reimbursement Methodology be Published for Physicians H-185.975

03/13/2019
Amendments, Fee Schedules, Payment Edits, Payment Rules, Rental Networks
Ama Policy

Third Party Payer Coverage Process Reform and Advocacy D-185.986

03/13/2019
Amendments, U.R. Criteria
Ama Policy

Prior Authorization Relief in Medicare Advantage Plans H-320.938

09/02/2022
Amendments, Retroactive Denial
Ama Policy

Medicare Advantage Plans D-330.923

03/14/2019
Amendments, Fee Schedules
ARC Advocacy Resources

Model Network Adequacy Model Bill

A red-lined version of the NAIC’s model bill to assist medical societies in states where the NAIC model has been introduced or where the medical society would like to propose network adequacy legislation.

Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Model Legislation, Network Adequacy, Prohibited financial incentives, Termination
ARC Advocacy Resources

Protected: Limiting Insurer Unilateral Amendments Model Bill

Requires health insurers to give physicians key payment data and prohibits a health insurer from making a material change to a contract more than once a year.

Amendments, Model Legislation
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/18/2023 Arkansas Sections 23-99-1202

Definitions

Amendments, Most Favored Nation, Participation in Products, Plans, or Networks
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/28/2023 Arkansas Section 23-99-1205

Contracting process

Amendments
State Law

Insurance Code-Division 2-Part 2-Chapter 1. The Contract-Article 2. Transfer

07/31/2023 California Section 10133.66

Claims filing-overpayment-health insurers’ payment dislosure obligations

Amendments, Claims Filing Deadlines, Fee Schedules, Overpayments / Recoupments, Payment Edits, Payment Rules