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- Mass. Gen. Laws ch. 176I, § 8 · Powers of commissioner; standardized claim form
- Mass. Gen. Laws ch. 176I, § 9 · Application of laws
- Mass. Gen. Laws ch. 176I, § 10 · Applications
- Mass. Gen. Laws ch. 176I, § 11 · Annual assessment
- Mass. Gen. Laws ch. 176I, § 12 · Coverage for children under age 18 for cleft lip and cleft palate
- Mass. Gen. Laws ch. 176I, § 13 · Coverage for health care services delivered via telehealth by a contracted health care provider
- Mass. Gen. Laws ch. 176J, § 1 · Definitions
- Mass. Gen. Laws ch. 176J, § 2 · Application of chapter
- Mass. Gen. Laws ch. 176J, § 3 · Individual and small group plans; group base premium rate; filing plan with connector; investigation of deviations from group base premium rate
- Mass. Gen. Laws ch. 176J, § 4 · Carriers to make health benefit plans available; renewal of plans
- Mass. Gen. Laws ch. 176J, § 5 · Exclusion of eligible individuals
- Mass. Gen. Laws ch. 176J, § 6 · Approval of health insurance policies; eligibility criteria; submission of information; approval of changes to small group product base rates or rating factors
- Mass. Gen. Laws ch. 176J, § 7 · Disclosure by carriers
- Mass. Gen. Laws ch. 176J, § 8 · Transitional reinsurance program
- Mass. Gen. Laws ch. 176J, § 9 · Continuous coverage
- Mass. Gen. Laws ch. 176J, § 10 · Young adult health benefit plans; coverage requirements; premiums
- Mass. Gen. Laws ch. 176J, § 11 · Reduced or selective network plans; tiered network plans; smart tiering plans
- Mass. Gen. Laws ch. 176J, § 11A · Continuing coverage for active course of treatment for serious disease begun prior to enrollment in reduced or selective network plan or tiered network plan
- Mass. Gen. Laws ch. 176J, § 12 · Small business group purchasing cooperatives; regulations governing establishment, oversight and certification
- Mass. Gen. Laws ch. 176J, § 13 · Filing of health benefit plan proposals for consideration upon request of group purchasing cooperative
- Mass. Gen. Laws ch. 176J, § 14 · Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network
- Mass. Gen. Laws ch. 176J, § 15 · Display by insurer offering tiered network plan of cost-sharing differences for enrollees in various tiers in promotional and agreement material
- Mass. Gen. Laws ch. 176J, § 16 · Attribution of members to a primary care provider
- Mass. Gen. Laws ch. 176J, § 17 · Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers
- Mass. Gen. Laws ch. 176K, § 1 · Definitions
- Mass. Gen. Laws ch. 176K, § 2 · Compliance; withdrawal from market
- Mass. Gen. Laws ch. 176K, § 3 · Discrimination; open enrollment period; health maintenance organizations; waiver
- Mass. Gen. Laws ch. 176K, § 4 · Regulations; prescription drug coverage; compliance with benefit designs
- Mass. Gen. Laws ch. 176K, § 5 · Right to coverage; conversion of policies; renewability; cancellation
- Mass. Gen. Laws ch. 176K, § 6 · Filing of policy form or certificate form
- Mass. Gen. Laws ch. 176K, § 7 · Community rating; premium surcharges, discounts, increases; annual report of loss ratio; judicial review; public hearings
- Mass. Gen. Laws ch. 176K, § 8 · Employers' or labor organizations
- Mass. Gen. Laws ch. 176K, § 9 · Contracts in existence prior to effective date of chapter
- Mass. Gen. Laws ch. 176L, § 1 · Definitions
- Mass. Gen. Laws ch. 176L, § 2 · Charter and license; application; plan of operation or feasibility study
- Mass. Gen. Laws ch. 176L, § 3 · Out of state groups; submission of information to commissioner; notice
- Mass. Gen. Laws ch. 176L, § 4 · Insurance insolvency guaranty fund
- Mass. Gen. Laws ch. 176L, § 5 · Repealed, 2000, 96, Sec. 4
- Mass. Gen. Laws ch. 176L, § 6 · Purchasing groups; exemptions
- Mass. Gen. Laws ch. 176L, § 7 · Statement submitted to commissioner; designation of commissioner as agent for service of process
- Mass. Gen. Laws ch. 176L, § 8 · Purchases of insurance by purchasing groups; agents or brokers; notice to members
- Mass. Gen. Laws ch. 176L, § 9 · Premium taxes
- Mass. Gen. Laws ch. 176L, § 10 · Motor vehicle no-fault and financial responsibility laws
- Mass. Gen. Laws ch. 176L, § 11 · Enforcement by commissioner
- Mass. Gen. Laws ch. 176L, § 12 · License requirement
- Mass. Gen. Laws ch. 176L, § 13 · Enforcement of court orders
- Mass. Gen. Laws ch. 176L, § 14 · Rules and regulations
- Mass. Gen. Laws ch. 176M, § 1 · Definitions
- Mass. Gen. Laws ch. 176M, § 2 · Participation in nongroup health insurance market; requirements; recommendations by contractors and board; standard health plans and alternative health plans
- Mass. Gen. Laws ch. 176M, § 3 · Exclusion from coverage; open enrollment period
- Mass. Gen. Laws ch. 176M, § 4 · Guaranteed issue health plans; premiums
- Mass. Gen. Laws ch. 176M, § 5 · Filing of rates; determination of average composite rate; review of filings
- Mass. Gen. Laws ch. 176M, § 6 · Massachusetts nongroup health reinsurance plan
- Mass. Gen. Laws ch. 176M, § 7 · Rules and regulations
- Mass. Gen. Laws ch. 176N, § 1 · Definitions
- Mass. Gen. Laws ch. 176N, § 2 · Exclusion from coverage; compliance with other provisions of law
- Mass. Gen. Laws ch. 176N, § 3 · Out of state plans
- Mass. Gen. Laws ch. 176N, § 4 · Promulgation of regulations
- Mass. Gen. Laws ch. 176O, § 1 · Definitions
- Mass. Gen. Laws ch. 176O, § 2 · Bureau of managed care
- Mass. Gen. Laws ch. 176O, § 3 · Complaints against carriers; notice; hearing
- Mass. Gen. Laws ch. 176O, § 4 · Refusal of carriers to contract with eligible health, dental or vision care providers solely because providers have practiced good faith advocacy on behalf of patients
- Mass. Gen. Laws ch. 176O, § 5 · Contracts; liability
- Mass. Gen. Laws ch. 176O, § 5A · Acceptance and recognition of information submitted pursuant to current coding standards and guidelines required; use of standardized claim formats
- Mass. Gen. Laws ch. 176O, § 5B · Policies and procedures to enforce Sec. 5A
- Mass. Gen. Laws ch. 176O, § 5C · Failure of carrier to comply with coding standards and guidelines; notice; penalty
- Mass. Gen. Laws ch. 176O, § 5D · Establishment of base fee schedule for evaluation and management services for behavioral health providers
- Mass. Gen. Laws ch. 176O, § 6 · Evidence of coverage to be delivered to covered adults by health, dental and vision care providers; contents
- Mass. Gen. Laws ch. 176O, § 7 · Information provided by carrier upon enrollment or upon request
- Mass. Gen. Laws ch. 176O, § 8 · Failure by carrier to file annual statement; fine
- Mass. Gen. Laws ch. 176O, § 9 · Utilization review programs; annual attestations
- Mass. Gen. Laws ch. 176O, § 9A · Agreements or contracts between carrier and health care provider prohibited if containing certain provisions
- Mass. Gen. Laws ch. 176O, § 9B · Alternate payment arrangements involving downside risk prohibited without risk certificate
- Mass. Gen. Laws ch. 176O, § 10 · Contractual financial incentive plans
- Mass. Gen. Laws ch. 176O, § 11 · Rights of health benefit plans to include as providers religious non-medical providers
- Mass. Gen. Laws ch. 176O, § 12 · Utilization review
- Mass. Gen. Laws ch. 176O, § 12A · Step therapy protocol: prescription drugs: annual report
- Mass. Gen. Laws ch. 176O, § 12B · Commission on step therapy protocol; responsibilities; annual report
- Mass. Gen. Laws ch. 176O, § 13 · Formal internal grievance process; expedited resolution policy
- Mass. Gen. Laws ch. 176O, § 14 · Review panel; patient protection office
- Mass. Gen. Laws ch. 176O, § 15 · Disenrollment of provider; continuation of treatment; specialty health care coverage
- Mass. Gen. Laws ch. 176O, § 16 · Clinical decisions regarding medical treatment made by treating physicians; payment for health care services ordered by treating physician or primary care provider
- Mass. Gen. Laws ch. 176O, § 17 · Regulations; promulgation
- Mass. Gen. Laws ch. 176O, § 18 · Responsibility of carrier for behavioral health services compliance
- Mass. Gen. Laws ch. 176O, § 19 · Display of name and telephone number of health service manager on enrollment cards of carrier
- Mass. Gen. Laws ch. 176O, § 20 · Information provided to insured adults by behavioral health manager; submission of material changes; workers' compensation; preferred provider arrangements
- Mass. Gen. Laws ch. 176O, § 21 · Submission by carrier of annual comprehensive financial statement
- Mass. Gen. Laws ch. 176O, § 22 · Participation in medical assistance program as condition for participation in carrier's provider network
- Mass. Gen. Laws ch. 176O, § 23 · Disclosure by carrier upon request for network status of health care provider and estimated or maximum allowed amount or charge for a proposed admission, procedure or service and amount insured responsible to pay; establishment of toll-free telephone number and website
- Mass. Gen. Laws ch. 176O, § 24 · Internal appeals processes for risk-bearing provider organizations; patient's right to third-party advocate; external review process
- Mass. Gen. Laws ch. 176O, § 25 · Use and acceptance of specifically designated prior authorization forms
- Mass. Gen. Laws ch. 176O, § 26 · Establishment of standardized processes and procedures for the determination of patient's health benefit plan eligibility at or prior to time of service
- Mass. Gen. Laws ch. 176O, § 27 · Development and use of common summary of payments form; implementation of education plan
- Mass. Gen. Laws ch. 176O, § 28 · Provider directories; contents; audits; print copies; customer service contact information; accommodations; accuracy; updates
- Mass. Gen. Laws ch. 176O, § 29 · Health care provider credentialing
- Mass. Gen. Laws ch. 176O, § 30 · Report to division regarding drugs selected to be provided with no or limited cost-sharing
- Mass. Gen. Laws ch. 176P, § 1 · Definitions
- Mass. Gen. Laws ch. 176P, § 2 · Lodge system
- Mass. Gen. Laws ch. 176P, § 3 · Representative government; elections; meetings; record
- Mass. Gen. Laws ch. 176P, § 4 · Limitation of membership