Managed Care Law

  1. Law
  2. New Hampshire Revised Statutes
  3. Insurance
  4. Managed Care Law

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Section
420-J:1

Purpose and Intent.

Section
420-J:2

Applicability and Scope.

Section
420-J:3

Definitions.

Section
420-J:3-a

Access to Enhanced 911 System.

Section
420-J:3-b

Pre-certification Requirement.

Section
420-J:4

Credentialing Verification Procedures.

Section
420-J:5

Grievance Procedures.

Section
420-J:5-a

Right to External Review.

Section
420-J:5-b

Standard External Review.

Section
420-J:5-c

Expedited External Review.

Section
420-J:5-d

Certification of Independent Review Organizations.

Section
420-J:5-e

General Provisions Regarding External Review.

Section
420-J:6

Utilization Review.

Section
420-J:6-a

Obstetrical-Gynecological Coverage.

Section
420-J:6-b

Self-Referrals for Chiropractic Care.

Section
420-J:6-c

Third-Party Payment of Covered, Court-Ordered Services.

Section
420-J:6-d

Coverage for Dependents.

Section
420-J:6-e

Coverage for Medically Necessary Dental Services.

Section
420-J:7

Network Adequacy.

Section
420-J:7-a

Repealed by 2007, 33:2, eff. July 13, 2007.

Section
420-J:7-b

Prescription Drugs.

Section
420-J:7-c

Disqualification of Certain Physicians Prohibited.

Section
420-J:7-d

Continued Access to Care Subsequent to a Provider Contract Termination.

Section
420-J:7-e

Notice of Consumer Rights.

Section
420-J:8

Provider Contract Standards.

Section
420-J:8-a

Prompt Payment Required.

Section
420-J:8-b

Retroactive Denials Prohibited; Exceptions.

Section
420-J:8-c

Reimbursement for Providers Waiting for Health Carrier Credentialing Verification.

Section
420-J:8-d

Dependent Coverage.

Section
420-J:8-e

Reasonable Value of Health Care Services.

Section
420-J:8-f

Non-Covered Dental Services.

Section
420-J:9

Quality Assessment, Quality Improvement, and Reporting.

Section
420-J:10

Confidentiality of Insurer Records.

Section
420-J:11

Confidentiality of Insurance Department Records.

Section
420-J:12

Rulemaking Authority.

Section
420-J:13

Severability.

Section
420-J:14

Penalties.

Section
420-J:15

Definitions.

Section
420-J:16

Levels of Care Criteria; Attestation.

Section
420-J:17

Prior Authorization.

Section
420-J:18

Authorization for Medication-Assisted Treatment.

Section
420-J:19

Medication Synchronization.