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Connecticut · Through Revised to January 1, 2026 (2026 Supplement to the General Statutes of Connecticut, applied over the base revision of January 1, 2025)

Conn. Gen. Stat. § 38a-478f: Provider profile development requirements.

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Where this section sits in the code
  1. TITLE 38a. INSURANCE
  2. CHAPTER 700c. HEALTH INSURANCE
  3. 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

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