General Laws of Massachusetts - Chapter 176T Risk-bearing Provider Organizations
- Massachusetts General Laws - Definitions - Chapter 176T, Section 1
As used in this chapter the following words shall, unless the context clearly requires otherwise, have the following meanings:-- "Alternative payment contract'', any contract between a...
- Massachusetts General Laws - Risk-bearing provider organization not subject to chapters 175, 176A, 176B, 176C, 176E, 176F, 176G and 176J - Chapter 176T, Section 2
Except as hereinafter provided, a risk-bearing provider organization shall not be subject to chapters 175, 176A, 176B, 176C, 176E, 176F, 176G and 176J; provided, however,...
- Massachusetts General Laws - Risk certificate application; waiver; form; fee - Chapter 176T, Section 3
(a) Each registered provider organization that enters into or renews an alternative payment contract with a carrier or public health care payer in which the...
- Massachusetts General Laws - Examination of risk-bearing provider organization’s alternate payment arrangements with downside risk; report - Chapter 176T, Section 4
(a) The commissioner may make an examination of the affairs of a risk-bearing provider organization regarding its alternate payment arrangements with downside risk when the...
- Massachusetts General Laws - Threat of financial insolvency due to risk-bearing provider organization’s alternative payment contracts with downside risk; notice; suspension or cancellation of risk certificate; hearing - Chapter 176T, Section 5
(a) If upon examination or at any other time the commissioner determines that the risk-bearing provider organization’s existing or proposed alternative payment contracts with downside...
- Massachusetts General Laws - Health care provider prohibited from collecting or attempting to collect money owed by risk-bearing provider organization from patient - Chapter 176T, Section 6
(a) For purposes of this section, “health care provider” shall mean any physician, hospital or other person or entity furnishing health services that has contracted...
- Massachusetts General Laws - Availability of information provided by risk-bearing provider organizations - Chapter 176T, Section 7
All information provided by risk-bearing provider organizations to the division under this chapter shall be made available to the center and the commission.
- Massachusetts General Laws - Non-exemption of applicable provisions of chapter 111, 112 or 176T - Chapter 176T, Section 8
Nothing in this chapter shall exempt any person from any applicable provisions of chapter 111, 112 or 176T including, but not limited to, provisions relating...
- Massachusetts General Laws - Promulgation of rules and regulations necessary to carry out provisions of this chapter - Chapter 176T, Section 9
The commissioner shall promulgate rules and regulations as are necessary to carry out the provisions of this chapter. In developing the rules and regulations, including...
Last modified: September 11, 2015