ADEQUACY OF NETWORK PLANS
- Section 687B.750 - Definitions
- Section 687B.752 - "Carrier" defined
- Section 687B.754 - "Council" defined
- Section 687B.756 - "Covered person" defined
- Section 687B.758 - "Network plan" defined
- Section 687B.760 - "Provider of health care" defined
- Section 687B.762 - "Qualified health plan" defined
- Section 687B.764 - Applicability: Network plans issued by certain smaller carriers
- Section 687B.766 - Applicability: Generally
- Section 687B.768 - Adoption by reference of standards for determining adequacy
- Section 687B.770 - Network Adequacy Advisory Council: Establishment; membership; vacancy; meetings
- Section 687B.772 - Network Adequacy Advisory Council: Recommendations for additional or alternative standards for determining adequacy; determination by Commissioner; effective date of new requirements
- Section 687B.776 - Application for approval to issue network plan: Additional data and documentation required
- Section 687B.778 - Update of directory of providers of health care; public availability of directory
- Section 687B.780 - Change to network plan resulting in failure to meet standards or requirements: Carrier required to notify Commissioner; description of cause and impact of change; summary of measures to bring plan in compliance
- Section 687B.782 - Change to network plan resulting in failure to meet standards or requirements: Submission of corrective action plan by carrier; requirement to ensure covered persons receive covered services; exception
- Section 687B.784 - Change to network plan resulting in failure to meet standards or requirements: Authority of Commissioner to determine inadequacy of plan; submission of statement of network capacity for certain plans