Search state statutes and regulations in all 50 states and the District of Columbia to find out what rights you have in your state and what other states are doing to empower physicians and patients in the face of health insurer market power.
Definitions; Network adequacy; Notice of nonrenewal or termination; Transition of services; Network transparency; Uniform electronic provider directory information
notification forms
Findings—Intent—2019 c 427; Short title; Definitions; Dispute resolution process—Determination of commercially reasonable payment amount; Requirement to provide certain information on website or upon consumer request—Requirement to provide carriers with nonemployed provider lists; Health care provider—Requirement to provide certain information on website or upon consumer request—Requirement to submit network status information to carriers; Carrier—Requirement to update website and provider directory—Requirement to provide enrollee with certain information; Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisions—Annual notice to commissioner; Determining the adequacy of provider networks—Required considerations; Allowed amounts paid to nonparticipating providers; Application of state and federal requirements—Applicability information access—Waivers prohibited
Health insurance policy; written summary requirements; style, arrangement and appearance of policy; electronic copy permissible; “board certified” defined.
Purpose and Scope; Applicability; Definitions; Filing Procedures; Material Changes to a Network; Provider Directory Audits; Notice of Nonrenewal or Termination; Confidentiality
Definitions; Physician and Health Care Provider Directories; Physician and Health Care Provider Directory on Internet Website
Definitions; Permitted Disclosures by Providers; Coverage of Benefit or Service; Payment of Provider, Application; Provider Credentialing; Provider Directories; Preferred Provider Agreement Prohibitions; Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements; Fully Credentialed Provider Reimbursement; Requirements
Network Adequacy; Directories
Responsibilities of insurers and MA and CHIP managed care plans