Status: Enacted
Year Enacted: 2017
Statutes prohibit an insurer from prohibiting a preferred provider from discussing any specific or all treatment options with beneficiaries or from advocating on behalf of beneficiaries within utilization review. If the insurer does not have […]
27 R.I. Gen. Laws § 27-18.8-3. Certification of network plans: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted
Year Enacted: 2017
Describes the requirements for a network to be certified by the Insurance Commissioner. Prohibits most favored nation clauses. Originally enacted in 2003 as 23 R.I. Gen. Laws §§ 23-17.13-2 and 23-17.13-3. General certificate requirements: Health […]
27 R.I. Gen. Laws §§ 27-18.8-1 through 27-18.8-10: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted
Year Enacted: 2017
Describes the purpose of the Health Care Accessibility and Quality Assurance Act; provides the office shall establish reporting requirements to determine if health care entities and/or network plans are in compliance with the provisions of […]
Status: Enacted
Year Enacted: 2011
Employers can use a preferred provider program for their workers’ compensation programs.
Status: Enacted
Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription […]
Status: Enacted
Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription […]
Status: Enacted
Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription […]
Status: Enacted
Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription […]
Status: Enacted
Year Enacted: 2000
Every health care insurer that offers individual health insurance coverage in the individual market in this state shall provide guaranteed availability of coverage to an eligible individual who desires to enroll in individual health insurance coverage. Must disclose certain information about premiums […]
Status: Enacted
Year Enacted: 2011
If an inmate in a county jail or a person who, but for the circumstances, would otherwise be treated in the county jail requires health care services that the county jail cannot provide, the county […]
Status: Enacted
Year Enacted: 1970
Establishes payment to providers should a state hospital require a healthcare service that they cannot provide.
Status: Enacted
Year Enacted: 2016
Outlines the reimbursement requirements for hospitals.
Status: Enacted
Year Enacted: 2009
If a prisoner in a secure care facility requires health care services that the department, the facility or a private prison provider contracted by the department cannot provide, the department shall pay approved claims from […]
Ariz. Rev. Stat. § 8-142.01. Adoption subsidy program; hospital reimbursement: Adoption Subsidies – Arizona
Status: Enacted
Year Enacted: 1992
Notwithstanding § 8-144, subsection B, for inpatient hospital admissions and outpatient hospital services on or after March 1, 1993, the department shall reimburse a hospital for adoption expenses according to the rates established by the […]
Status: Enacted
Year Enacted: 1975
A health maintenance organization shall make available to its subscribers a list of providers upon enrollment and re-enrollment. Every health maintenance organization shall provide within thirty (30) days to its subscribers a notice of any […]
Status: Enacted
Year Enacted: 1975
The Insurance Commissioner may contract with qualified persons to make recommendations concerning the adequacy, network adequacy, or accessibility of healthcare services under a healthcare plan furnished or proposed to be furnished by a health maintenance […]
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