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
06/22/2020
Delaware
Section 3339
Anti-retaliation, Profiling, Termination, Termination-Due Process
State Law
06/23/2020
Florida
Section 641.315
Amendments, Anti-gag clause, Fee Schedules, Participation in Products, Plans, or Networks, Termination, Termination-Due Process
State Law
03/19/2021
Indiana
Section 27-8-11-3
Reimbursement agreements; immunity
Termination-Due Process
State Law
07/01/2020
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
07/01/2020
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
09/17/2021
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
