General Laws of Massachusetts - Chapter 176I Preferred Provider Arrangements

• Massachusetts General Laws - Definitions - Chapter 176I, Section 1
  The following words as used in this chapter shall have the meanings given to them in this section unless the context clearly requires otherwise: “Commissioner”,...
• Massachusetts General Laws - Proposed preferred provider arrangements; requirements upon receipt of completed forms for reimbursement - Chapter 176I, Section 2
  An organization may enter into a preferred provider arrangement with one or more health care providers upon a determination by the commissioner that the organization...
• Massachusetts General Laws - Health benefit plans; minimum requirements - Chapter 176I, Section 3
  Organizations, but not an insurer as defined in paragraph (7) of section one of chapter one hundred and fifty-two, may offer health benefit plans which...
• Massachusetts General Laws - Workers’ compensation medical services organizations; minimum requirements - Chapter 176I, Section 3A
  The requirement of subsections (b) (c) and (d) of section three shall apply to organizations that furnish workers’ compensation medical services through a preferred provider
• Massachusetts General Laws - Discriminatory refusal of provider - Chapter 176I, Section 4
  An organization shall not refuse to enter into a preferred provider arrangement with a health care provider on the basis of religion, race, color, national...
• Massachusetts General Laws - Health benefit plans; genetic tests; discrimination based on genetic information - Chapter 176I, Section 4A
  For the purposes of this section the following words shall have the following meanings:— “Genetic information”, a written recorded individually identifiable result of a genetic...
• Massachusetts General Laws - Financial and utilization records - Chapter 176I, Section 5
  An organization shall maintain financial and utilization records for its preferred provider arrangements and activities in a form separate or separable from the financial and...
• Massachusetts General Laws - Surety bond, reinsurance or other financial resources - Chapter 176I, Section 6
  An organization shall furnish to the commissioner evidence of a surety bond, reinsurance or other financial resources in an amount satisfactory to the commissioner as...
• Massachusetts General Laws - Report - Chapter 176I, Section 7
  An organization which enters into a preferred provider arrangement shall file annually with the commissioner, within one hundred and twenty days of the close of...
• Massachusetts General Laws - Powers of commissioner; standardized claim form - Chapter 176I, Section 8
  In addition to other powers specified in this chapter, the commissioner may, after due hearing: (a) promulgate appropriate rules and regulations necessary to the administration...
• Massachusetts General Laws - Application of laws - Chapter 176I, Section 9
  An organization which offers or administers a health benefit plan or furnishes workers’ compensation, under a preferred provider arrangement shall be subject to all of...
• Massachusetts General Laws - Applications - Chapter 176I, Section 10
  Any organization which has entered into preferred provider arrangements prior to the effective date of this chapter shall file an application within ninety days of...
• Massachusetts General Laws - Annual assessment - Chapter 176I, Section 11
  (a) Every organization other than a workers’ compensation insurer, operating a preferred provider arrangement shall annually pay an assessment equal to two and twenty-eight hundredths...
• Massachusetts General Laws - Coverage for children under age 18 for cleft lip and cleft palate - Chapter 176I, Section 12
  [Text of section applicable as provided by 2012, 234, Sec. 8.] An organization entering into a preferred provider contract that covers a child under the...

Last modified: September 11, 2015