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| Rule: 6.6.8815 | Prev Up Next | |
| Rule Title: PROVIDER-ENROLLEE RATIO REQUIREMENTS | ||
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| Department: | STATE AUDITOR | |
| Chapter: | INSURANCE DEPARTMENT | |
| Subchapter: | Network Adequacy for Managed Care Plans | |
| Latest version of the adopted rule presented in Administrative Rules of Montana (ARM): | ||
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6.6.8815 PROVIDER-ENROLLEE RATIO REQUIREMENTS (1) In order to be deemed adequate, a health carrier's network must include one mid-level PCP per 1,500 projected enrollees or one physician PCP per 2,500 projected enrollees.
History: 33-36-105, MCA; IMP, 33-36-105, 33-36-201, MCA; NEW, 1999 MAR p. 2052, Eff. 9/24/99; TRANS, from 37.108.215, 2023 MAR p. 1401, Eff. 10/21/23. |
| MAR Notices | Effective From | Effective To | History Notes |
|---|---|---|---|
| 6-282 | 10/21/2023 | Current | History: 33-36-105, MCA; IMP, 33-36-105, 33-36-201, MCA; NEW, 1999 MAR p. 2052, Eff. 9/24/99; TRANS, from 37.108.215, 2023 MAR p. 1401, Eff. 10/21/23. |
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