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INDEX
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Chapter
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Page
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Managed behavioral health care organizations, notice to members
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and filing of mental health expense ratio, requirements added;
Task Force to Develop Performance Quality Measures for
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Managed Behavioral Health Care Organizations, established ...
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579
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3342
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Mandated health insurance services, determination of cost and
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evaluation of impact by Health Care Access and Cost
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Commission, provisions added; report requirements added .......
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582
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3353
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Oncology drugs, reimbursement of costs to health care
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practitioner, provisions altered .....................................................
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617
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3470
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Patient Protection Act, to restrict bonuses or other
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incentive-based compensation provided to health care
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practitioners and require health insurance carriers to give
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providers a copy of reimbursement fee schedules, coding
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guidelines, and reimbursement level change or bonus
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determination methodology ...........................................................
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255
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1984
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Patients' Bill of Rights Act, to establish the Insurance
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Administration as consumers' single point of entry for health
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insurance information, improve access to specialists and
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prescription drugs not in carrier's formulary, and add mandated
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benefit of home visits after mastectomy or testicle removal .....
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120
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1473
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Penalties for prohibited acts, provisions altered .............................
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71
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1048
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Prompt payment of health care provider claims for
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reimbursement, provisions altered.........................................................
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472
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2944
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Prosthesis for women who have undergone a mastectomy, coverage
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requirements added...............................................................................
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155
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1690
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Rates paid by health maintenance organizations for claims of
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non-contracting health care providers, study and report,
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required.................................................................................................
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120
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1473
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Reduction of subrogation claim by payor of health care benefits or
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services to injured person who recovers in a claim for personal
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injury against a third party, provisions added....................................
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590
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3388
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Retroactive denial of preauthorized or approved services by
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private review agent, conditions narrowed; continuation of
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payment of premium of member of group policy by policyholder
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until notice of coverage termination is received by insurer,
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requirements added .......................................................................
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554
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3282
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Retroactive denial of reimbursement of health care providers
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based on improper coding, provisions clarified............................
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162
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1706
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Small employer health benefit plans, rate provisions altered;
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report requirement repealed...........................................................
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671
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3698
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Stay of Insurance Commissioner orders as result of demand for
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hearing, exception for orders resulting from final decision on an
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appeal of an emergency case, provisions added............................
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277
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2025
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Uniform credentialing form, use by insurance carrier or
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credentialing intermediary and provision to health care
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provider, requirements added.........................................................
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589
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3385
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Universal newborn hearing screening, provisions added..................
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127
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1553
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128
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1562
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