{"data":{"id":"us-ct/conn.-gen.-stat.-38a-478f","jurisdiction":"us-ct","citation":"Conn. Gen. Stat. § 38a-478f","heading":"Provider profile development requirements.","body":"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.","path":["TITLE 38a. INSURANCE","CHAPTER 700c. HEALTH INSURANCE","PART Ia. HEALTH INSURANCE: MANAGED CARE"],"source_url":"https://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-478f","current_through":"Revised to January 1, 2026 (2026 Supplement to the General Statutes of Connecticut, applied over the base revision of January 1, 2025)","vintage":"","retrieved_at":"2026-09-06T19:07:12Z","sha256":"c3bbbd9d7d6161337aca2670d3262272f38671ca7e0205430d6f2beab64b3b93","source_id":"us-ct","stale":false,"prev":"us-ct/conn.-gen.-stat.-38a-478e","next":"us-ct/conn.-gen.-stat.-38a-478g"},"notice":"GroundRules: Original legal text. Not legal advice."}