Conn. Gen. Stat. § 38a-478f: Provider profile development requirements.
Where this section sits in the code
- TITLE 38a. INSURANCE
- CHAPTER 700c. HEALTH INSURANCE
- PART Ia. HEALTH INSURANCE: MANAGED CARE
Each managed care organization, in developing provider profiles or otherwise measuring health care provider performance, shall: (1) Make allowances for the severity of illness or condition of the patient mix; (2) make allowances for patients with multiple illnesses or conditions; (3) make available to the commissioner documentation of how the managed care organization makes such allowances; and (4) inform enrollees and participating providers, upon request, how the managed care organization considers patient mix when profiling or evaluating providers.
Collected 2026-09-06T19:07:12Z. Source file · JSON