Search Results

Ama Policy

AMA Principles for Physician Employment H-225.950

10/14/2019
Anti-retaliation, Restrictive Covenants, Termination, Termination-Due Process
Ama Policy

Managed Care Consensus Bill H-285.941

03/13/2019
Credentialing-Due Process-Denial of Contract, Termination-Due Process
Ama Policy

Qualifications and Credentialing of Physicians Involved in Managed Care H-285.991

03/13/2019
Credentialing-Due Process-Denial of Contract, Termination, Termination-Due Process
State Law

Title 18. Insurance Code-Chapter 33. Health Insurance Contracts-Subchapter I. General Provisions

08/01/2023 Delaware Section 3339

Refusal to contract

Anti-retaliation, Profiling, Termination, Termination-Due Process
State Law

Title XXXVII-Insurance-Chapter 641-Part I. Health Maintenance Organizations

08/01/2023 Florida Section 641.315

Provider contracts

Amendments, Anti-gag clause, Fee Schedules, Participation in Products, Plans, or Networks, Termination, Termination-Due Process
State Law

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Managed Care Plans

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

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Miscellaneous Provisions

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

Maine Rev. Statutes-Title 24-A, Chapter 56-A, Subchapter 1. Health Plan Requirements

01/21/2025 Maine Section 4303

Plan requirements

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

Maryland Statutes-Article 15. Insurance

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
State Law

Code of Massachusetts Regs-Title 958-Part 3. Health Insurance Consumer Protection

07/26/2023 Massachusetts Sections 958 CMR 3.500 through 3.504, 3.508 and 3.509

Disenrollment of Primary Care Provider; Disenrollment of Providers of Care to Pregnant Women; Disenrollment of Providers of Care to the Terminally Ill; Coverage for the Newly Insured; Carrier’s Coverage Conditions; Denial of Provider Application; Provider Termination Without Cause Provisions

Continuity of Care Post-Contract, Termination, Termination-Due Process