Search Results
State Law
07/28/2023
California
Section 2240.1
Adequacy and Accessibility of Provider Services
Credentialing-Patient Demographics, Network Adequacy
State Law
07/16/2023
Connecticut
Section 38a-472f
Network adequacy. Health carrier duties and responsibilities. Access plan filing.
Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Network Adequacy, Participation in Products, Plans, or Networks, Profiling, Prohibited financial incentives, Termination
State Law
08/01/2023
Delaware
Section 1403-11.0
Quality Assurance and Operations
Credentialing-Patient Demographics, Network Adequacy, Retroactive Denial, U.R. Criteria
State Law
08/02/2023
Hawaii
Section 431:26-104
Requirements for health carriers and participating providers
Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Profiling, Termination
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
07/10/2020
Mississippi
Sections 14.01-14.13
Managed care plan network adequacy
Anti-gag clause, Anti-retaliation, Credentialing-Patient Demographics, Fee Schedules, Liability-insurer shifting to physician, Network Adequacy, Prohibited financial incentives, Termination
State Law
08/09/2023
Missouri
Section 354.606
Providers notified of specific covered services, when — hold harmless provision — cessation of operations procedure — selection standards for health care professionals, filing with the department.
Anti-gag clause, Anti-retaliation, Credentialing-Patient Demographics, Prohibited financial incentives
State Law
08/10/2023
Montana
Section 33-36-203
Selection of providers-professional credentials standards
Credentialing-Patient Demographics
State Law
08/10/2023
Nebraska
Section 44-4109.01
Policies or contracts; requirements
Credentialing-Due Process-Denial of Contract, Credentialing-Patient Demographics, Termination-Due Process
State Law
08/13/2023
North Carolina
Section 58-3-200
Miscellaneous insurance and managed care coverage and network provisions
Credentialing-Patient Demographics, Medical Necessity-Definition, Retroactive Denial
