Conn. Gen. Stat. § 38a-479b. Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception: Health Insurance: Managed Care – Connecticut

Status: Enacted
Year Enacted: 2011
File: Download

Prohibits health organizations from making changes to a provider’s fee schedule except one time annually with 90-day notice, and, with 30-day notice, changes to comply with federal laws and regulations, the medical data code, national best practice protocols made by the National Quality Forum, to be consistent with Medicare changes, and more. Allows a health prganization to introduce a new insurance product to a provider at any time, provided that the provider is given at least 60 days notice.

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