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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-479cc: Duties of a preferred provider network when providing services pursuant to a contract with a managed care organization.

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Where this section sits in the code
  1. TITLE 38a. INSURANCE
  2. CHAPTER 700c. HEALTH INSURANCE
  3. PART Ib. HEALTH INSURANCE: PREFERRED PROVIDER NETWORKS

(a) Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the preferred provider network may not establish any terms, conditions or requirements for access, diagnosis or treatment that are different from the terms, conditions or requirements for access, diagnosis or treatment in the managed care organization's plan, except that no preferred provider network shall be required to provide an enrollee access to a provider who does not participate in the preferred provider network unless the preferred provider network is required to provide such access under its contract with the managed care organization.

(b) Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the preferred provider network shall pay for the delivery of health care services and operate and maintain arrangements or contracts with providers in a manner consistent with the provisions of law that apply to the managed care organization's contracts with enrollees and providers.

Collected 2026-09-06T19:07:12Z. Source file · JSON

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