24-A §2671. Definitions
§2671. Definitions As used in this chapter, unless the context indicates otherwise, the following terms have the following meanings. [PL 1985, c. 704, §4 (NEW).] 1. “Administrator” means any person, other than a carrier, that administers a preferred provider arrangement. An administrator does not include a health maintenance organization licensed pursuant to chapter 56 […]
24-A §2672. Selective contracting authorized
§2672. Selective contracting authorized Carriers or administrators may enter into preferred provider arrangements with providers of their choice. In selecting preferred providers, carriers or administrators may consider, among other factors, price differences between or among providers, geographic accessibility, specialization and projected utilization by enrollees. Selective contracting does not constitute unreasonable discrimination against or among providers. […]
24-A §2673. Policies, agreements or arrangements with incentives or limits on reimbursement authorized (REPEALED)
§2673. Policies, agreements or arrangements with incentives or limits on reimbursement authorized (REPEALED) SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1989, c. 588, §A49 (RPR). PL 1999, c. 609, §7 (RP).
24-A §2673-A. Preferred provider arrangements
§2673-A. Preferred provider arrangements 1. Filing with superintendent; disapproval. A carrier or administrator who proposes to offer a preferred provider arrangement shall file with the superintendent proposed agreements, rates, geographic service areas, provider networks and other materials relevant to the proposed arrangement. The superintendent shall disapprove any preferred provider arrangement if the arrangement contains any […]
24-A §2674. Requirements applicable to administrators (REPEALED)
§2674. Requirements applicable to administrators (REPEALED) SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1999, c. 609, §9 (RP).