Network Plans


230-RICR-20-30-9 ACTIVE RULE

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9.1Authority

9.2Purpose and Scope

9.3Definitions

9.4General Requirements - Certification, Recertification, and Material Change

9.5Delegate Requirements

9.6Network Plan General Requirements

9.7Network Adequacy Requirements

9.8 Professional Provider Credentialing and Re-credentialing

9.9Provider Contracting and Due Process

9.10Reporting

9.11Denial, Suspension, or Revocation of Certification

9.12Penalties and Enforcement

9.13Rules of Governance

9.14Severability


Title 230 Department of Business Regulation (includes the Office of the Health Insurance Commissioner)
Chapter 20 Insurance
Subchapter 30 Health Insurance
Part 9 Network Plans
Type of Filing Periodic Refile
Regulation Status Active
Effective 01/04/2022

Regulation Authority:

R.I. Gen. Laws § Chapter 27-18.8

Purpose and Reason:

This rule is being refiled by the agency pursuant to R.I. Gen. Laws § 42-35-4.1.  No changes were made to the text of this rule.

Rulemaking Documents are organized by document type and are part of this rule’s rulemaking record (R.I. Gen. Laws § 42-35-2.3). If multiple documents of the same type are listed below, each is a unique document. If there are multiple Public Notice of Proposed Rulemaking documents, view each document to identify the most recently amended version, as it may be amended at any point during the Public Comment Period.