Search Results
Ama Policy
03/13/2019
Credentialing-Due Process-Denial of Contract, Termination, Termination-Due Process
Ama Policy
03/13/2019
Credentialing-Due Process-Denial of Contract, Termination-Due Process
ARC Advocacy Resources
Requires a health insurer to give a physician specific fair process rights, e.g., a hearing, before either officially denying the physician’s request to join an insurer’s network or terminating a physician’s managed care contract or network participation.
Model Legislation, Termination-Due Process
Ama Policy
10/14/2019
Anti-retaliation, Restrictive Covenants, Termination, Termination-Due Process
State Law
08/01/2023
Delaware
Section 3339
Anti-retaliation, Profiling, Termination, Termination-Due Process
State Law
08/01/2023
Florida
Section 641.315
Amendments, Anti-gag clause, Fee Schedules, Participation in Products, Plans, or Networks, Termination, Termination-Due Process
State Law
08/05/2023
Kentucky
Section 304.17A-525
Standards for provider participation; Mechanisms for consideration of provider applications; Policy for removal or withdrawal
Credentialing-Patient Demographics, Profiling, Termination, Termination-Due Process
State Law
08/05/2023
Kentucky
Section 304.17A-254
Duties of insurer offering health benefit plan
Amendments, Anti-gag clause, Anti-retaliation, Directories, Fee Schedules, Termination, Termination-Due Process
State Law
07/18/2023
Maine
Section 4303
Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Deadlines, Credentialing-Due Process-Denial of Contract, Credentialing-Payment Issues, Fee Schedules, Most Favored Nation, Overpayments / Recoupments, Participation in Products, Plans, or Networks, Prohibited financial incentives, Retroactive Denial, Termination, Termination-Due Process
State Law
08/07/2023
Maryland
Section 15-112
Requirements applicable to a wide range of issues applicable to health care provider contracts
Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Deadlines, Credentialing-Payment Issues, Directories, Fee Schedules, Most Favored Nation, Network Adequacy, Termination, Termination-Due Process
