State Law
08/22/2023
Rhode Island
Section 27-18.8-3
Certification of network plans
Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Most Favored Nation, Termination
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
08/24/2023
Texas
Section 3.3706
Designation as a Preferred Provider, Decision to Withhold Designation, Termination of a Preferred Provider, Review of Process
Credentialing-Due Process-Denial of Contract, Credentialing-Patient Demographics, Profiling, Termination, Termination-Due Process
State Law
08/26/2023
Virginia
Section 5-408-170
Provider Credentialing and Recredentialing
Credentialing-Deadlines, Credentialing-Patient Demographics, Credentialing-Payment Issues, Termination-Due Process
State Law
08/26/2023
Vermont
Reg. H-2009-03
Consumer protection and quality requirements for managed care organizations
Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Due Process-Denial of Contract, Credentialing-Patient Demographics, Directories, ERISA-Med. Nec. Decisions-Deadlines, Liability-insurer shifting to physician, Medical Necessity-Definition, Network Adequacy, OON-Payment Issues, Prohibited financial incentives, Retroactive Denial, State Medical Necessity Appeals-Deadlines, Termination, Termination-Due Process, U.R. Criteria
State Law
08/28/2023
Washington
Section 284-170-411
Selection of participating providers-Credentialing and unfair discrimination
Credentialing-Patient Demographics
State Law
08/22/2023
Rhode Island
Part 9. Network Plans
Amendments, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Deadlines, Credentialing-Patient Demographics, Credentialing-Payment Issues, Directories, Most Favored Nation, Network Adequacy, Profiling, Termination
State Law
08/18/2023
Oklahoma
Section 6907
Reasonable standards of quality of care – Quality assurance plan and activities – Record of proceedings – Patient record system – Medical policy – Credentialing and recredentialing of health care providers – Termination or nonrenewal of contracts – Emergency services
Anti-gag clause, Credentialing-Deadlines, Credentialing-Patient Demographics, 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
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
