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Rule Subchapter: 37.108.2
Subchapter Title: Network Adequacy for Managed Care
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37.108: MANAGED CARE QUALITY ASSURANCE
37.108.2: Network Adequacy for Managed Care


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Rule No Rule Title Latest
Version
Effective
Date
37.108.201 DEFINITIONS TRANS 10/21/2023
Rules 37.108.202 through 37.108.204 reserved
37.108.205 ACCESS PLAN FILING AND REVIEW GUIDELINES TRANS 10/21/2023
37.108.206 ACCESS PLAN UPDATES TRANS 10/21/2023
37.108.207 ACCESS PLAN SPECIFICATIONS TRANS 10/21/2023
37.108.208 ACCESS CRITERIA TRANS 10/21/2023
Rules 37.108.209 through 37.108.213 reserved
37.108.214 MANDATORY COVERAGE TRANS 10/21/2023
37.108.215 PROVIDER-ENROLLEE RATIO REQUIREMENTS TRANS 10/21/2023
37.108.216 VERIFICATION OF PROVIDER CREDENTIALS TRANS 10/21/2023
Rules 37.108.217 and 37.108.218 reserved
37.108.219 GEOGRAPHIC ACCESS CRITERIA TRANS 10/21/2023
37.108.220 EXCEPTIONS TO GEOGRAPHIC ACCESS CRITERIA TRANS 10/21/2023
37.108.221 SERVICE AREAS TRANS 10/21/2023
Rules 37.108.222 through 37.108.226 reserved
37.108.227 MAXIMUM WAIT TIMES FOR APPOINTMENTS TRANS 10/21/2023
37.108.228 REFERRAL AND SPECIALTY CARE REQUIREMENTS TRANS 10/21/2023
37.108.229 CONTINUITY OF CARE AND TRANSITIONAL CARE TRANS 10/21/2023
Rules 37.108.230 through 37.108.234 reserved
37.108.235 SELECTING AND CHANGING PROVIDERS TRANS 10/21/2023
37.108.236 REMOVAL OF BARRIERS TO ACCESS TRANS 10/21/2023
Rules 37.108.237 through 37.108.239 reserved
37.108.240 MONITORING THE NETWORK TRANS 10/21/2023
37.108.241 LETTERS OF INTENT TRANS 10/21/2023
37.108.242 RESPONSIBILITY FOR CONTRACTED SERVICES TRANS 10/21/2023
Rules 37.108.243 through 37.108.249 reserved
37.108.250 CORRECTIVE ACTION TRANS 10/21/2023
37.108.251 APPEAL FROM DEPARTMENT DECISION TRANS 10/21/2023
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