Mont. Admin. r. 6.6.5903

Current through Register Vol. 24, December 20, 2024
Rule 6.6.5903 - FILING PROVIDER LISTS
(1) An insurer shall file on the date specified in filing instructions from the commissioner, an electronic report of all participating providers in that insurer's network on a form and in a manner prescribed by the commissioner. If the insurer maintains health plans with different network access, the insurer must file a separate report for each network.
(2) An insurer shall file an updated report if:
(a) provider numbers decrease by five percent or more;
(b) a hospital, surgi-center, or other inpatient facility, with more than five beds, terminates its provider contract with that insurer; or
(c) requested by the commissioner.
(3) The commissioner may conduct an audit of an insurer's provider network.

Mont. Admin. r. 6.6.5903

NEW, 2015 MAR p. 566, Eff. 5/15/2015

AUTH: 33-22-1707, MCA

IMP: 33-22-1706, MCA