SUBCHAPTER A GENERAL PROVISIONS |
HTMLPDF | 284-170-110 | Purpose. |
HTMLPDF | 284-170-120 | Applicability and scope. |
HTMLPDF | 284-170-125 | Compliance with state and federal laws. |
HTMLPDF | 284-170-130 | Definitions. |
SUBCHAPTER B HEALTH CARE NETWORKS |
HTMLPDF | 284-170-200 | Network access—General standards. |
HTMLPDF | 284-170-210 | Alternate access delivery request. |
HTMLPDF | 284-170-220 | Amended alternate access delivery request for services subject to the Balance Billing Protection Act. |
HTMLPDF | 284-170-230 | Maintenance of sufficient provider networks. |
HTMLPDF | 284-170-240 | Use of subcontracted networks. |
HTMLPDF | 284-170-260 | Provider directories. |
HTMLPDF | 284-170-270 | Every category of health care providers. |
HTMLPDF | 284-170-280 | Network reports—Format. |
HTMLPDF | 284-170-285 | Mental health and substance use disorder web page model format and required content. |
HTMLPDF | 284-170-300 | Essential community providers for exchange plans—Definition. |
HTMLPDF | 284-170-310 | Essential community providers for exchange plans—Network access. |
HTMLPDF | 284-170-320 | Issuer recordkeeping—Provider networks. |
HTMLPDF | 284-170-330 | Tiered provider networks. |
HTMLPDF | 284-170-340 | Assessment of access. |
HTMLPDF | 284-170-350 | Issuer standards for women's right to directly access certain health care practitioners for women's health care services. |
HTMLPDF | 284-170-360 | Enrollee's access to providers. |
HTMLPDF | 284-170-370 | Hospital emergency service departments and practice groups. |
HTMLPDF | 284-170-380 | Standards for temporary substitution of contracted network providers—"Locum tenens" providers. |
HTMLPDF | 284-170-390 | Rule concerning contracted network providers called to active duty military service. |
SUBCHAPTER C PROVIDER CONTRACTS AND PAYMENT |
HTMLPDF | 284-170-401 | Provider and facility contracts with issuers—Generally. |
HTMLPDF | 284-170-411 | Selection of participating providers—Credentialing and unfair discrimination. |
HTMLPDF | 284-170-421 | Provider contracts—Standards—Hold harmless provisions. |
HTMLPDF | 284-170-431 | Provider contracts—Terms and conditions of payment. |
HTMLPDF | 284-170-433 | Provider contracts—Telemedicine. |
HTMLPDF | 284-170-440 | Provider contracts—Dispute resolution process. |
HTMLPDF | 284-170-450 | Pharmacy identification cards. |
HTMLPDF | 284-170-460 | Provider contracts—Audit guidelines. |
HTMLPDF | 284-170-470 | Pharmacy claims—Rejections, notifications and disclosures. |
HTMLPDF | 284-170-480 | Participating provider—Filing and approval. |
HTMLPDF | 284-170-490 | Effective date. |