Md. Code, Ins. §§ 15-801 through 15-853: Required Health Insurance Benefits – Maryland
Status: Enacted Year Enacted: 2014
This subtitle discusses the requirements for health insurance benefits in Maryland.
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Me. Stat. tit. 24-A, § 4303-D. Provider directories: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2017
Requires carriers to make provider directories available electronically and update them on a monthly basis.
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Me. Stat. tit. 24-A, § 4318-B. Access to lower-priced services: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2017
States that if an enrollee elects to obtain a covered comparable health care service from an out of network provider at a price that is the same or less than the statewide average for the …
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Me. Stat. tit. 24-A, § 4320-H. Payment reform pilot project: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2011
Beginning March 1, 2012, the superintendent may authorize pilot projects in accordance with this subsection that allow a health insurance carrier that offers health plans in this State to implement payment reform strategies with providers …
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Me. Stat. tit. 24-A, §§ 2670 through 2680: Preferred Provider Arrangement Act – Maine
Status: Enacted Year Enacted: 1985
Requires carriers that propose to offer preferred provider arrangements, to file the proposed agreements, rates, geographic service areas, provider networks, and other materials to the superintendent to approve or disprove the agreement. Requires carriers that …
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Me. Stat. tit. 24-A, §§ 2691 through 2697: Types of Health Insurance – Maine
Status: Enacted Year Enacted: 2001
States that an insurer shall file its criteria, standards, practices, procedures, and programs that measure or tier health care provider performance with respect to quality, cost or cost-efficiency with the superintendent. States that the superintendent …
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Mich. Comp. Laws § 550.1401g. Health care corporation; access to pediatric care services: The Nonprofit Health Care Corporation Reform Act – Michigan
Status: Enacted Year Enacted: 1999
A health care corporation shall not require prior authorization or referral for access under subsection (1) to a pediatrician who participates with the health care corporation. A health care corporation may require prior authorization or …
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Minn. Stat. § 43A.23. Contracting authority: State Personnel Management – Minnesota
Status: Enacted Year Enacted: 1981
The commissioner is authorized to request proposals or to negotiate and to enter into contracts with parties which in the judgment of the commissioner are best qualified to provide service to the benefit plans. Contracts …
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Minn. Stat. § 62Q.733. Definitions: Minnesota Health Plan Contracting Act – Minnesota
Status: Enacted Year Enacted: 2004
Definitions related to Minnesota Health Plan Contracting Act
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Minn. Stat. § 62Q.735. Provider Contracting Procedures: Minnesota Health Plan Contracting Act – Minnesota
Status: Enacted Year Enacted: 2004
Provides provider contracting procedures under the Minnesota Health Plan Contracting Act.
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Mo. Rev. Stat. § 354.618. Open referral health plans offered, when–definitions–obstetrician/gynecologist services to be offered, when–eye care providers, discrimination against, prohibited–exemptions: Community-Based Health Maintenance Organizations – Missouri
Status: Enacted Year Enacted: 1997
A health carrier shall have a procedure by which a female enrollee may seek the health care services of an obstetrician/gynecologist at least once a year without first obtaining prior approval from the enrollee’s primary …
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Mo. Rev. Stat. § 376.1900. Definitions: Life, Health and Accident Insurance – Missouri
Status: Enacted Year Enacted: 2013
A health care service provided through telehealth shall not be subject to any greater deductible, co-payment, or coinsurance amount than would be applicable if the same health care service was provided through face-to-face diagnosis, consultation, …
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Mo. Rev. Stat. § 376.685. Agreement between health carrier and optometrist–fees not to be set by health carrier, exception–reimbursement requirements–vision car insurance plan, prohibited limits–definitions: Life, Health and Accident Insurance – Missouri
Status: Enacted Year Enacted: 2016
No agreement between a health carrier or other insurer that writes vision insurance and an optometrist for the provision of vision services on a preferred or in-network basis to plan members or insurance subscribers in …
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Mont. Code Ann. § 33-22-1702. Purpose: Preferred Provider Agreements Act – Montana
Status: Enacted Year Enacted: 1987
The purpose of this part is to allow a health care insurer providing disability insurance benefits to negotiate and contract with health care providers to: (1) provide health care services to its insureds or subscribers …
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Mont. Code Ann. § 33-22-1703. Definitions: Preferred Provider Agreements Act – Montana
Status: Enacted Year Enacted: 1987
Definitions applying to preferred provider arrangements.
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Mont. Code Ann. § 33-22-1704. Preferred provider agreements authorized: Preferred Provider Arrangements Act – Montana
Status: Enacted Year Enacted: 1987
Health insurers may enter into arrangements with providers related to health care services, including preferred provider arrangements, meeting the following provisions.
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