General Laws of Massachusetts - Chapter 6D Health Policy Commission - Section 12 Negotiation of network contracts by unregistered provider or provider organization prohibited

Section 12. (a) No provider or provider organization may negotiate network contracts with any carrier or third-party administrator except for a provider or provider organizations which are registered under this chapter and regulations promulgated under this chapter; provided, however, that nothing in this chapter shall require a provider or provider organization with a patient panel of 15,000 or fewer or which represents providers who collectively receive, less than $25,000,000 in annual net patient service revenue from carriers or third-party administrators to be registered if such provider or provider is not a risk-bearing provider organization.

(b) Nothing in this chapter shall require a carrier to negotiate a network contract with a registered provider organization or with a registered provider or provider organization for all providers that are part of, or represented by, a registered provider organization.

Section:  Previous  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  Next

Last modified: September 11, 2015