Effective: April 5, 2019 Latest Legislation: Senate Bill 265 (GA 132), House Bill 156 (GA 132) As used in this chapter: (A) “Affiliate” means any person or entity that has ownership or control of a contracting entity, is owned or controlled by a contracting entity, or is under common ownership or control with a contracting […]
Effective: March 20, 2019 Latest Legislation: House Bill 156, Senate Bill 273 – 132nd General Assembly (A)(1) No contracting entity shall sell, rent, or give a third party the contracting entity’s rights to a participating provider’s services pursuant to the contracting entity’s health care contract with the participating provider unless one of the following applies: […]
Effective: March 20, 2019 Latest Legislation: House Bill 156 – 132nd General Assembly (A) Each health care contract shall include all of the following information: (1)(a) Information sufficient for the participating provider to determine the compensation or payment terms for health care services, including all of the following, subject to division (A)(1)(b) of this section: […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A)(1) If an amendment to a health care contract is not a material amendment, the contracting entity shall provide the participating provider notice of the amendment at least fifteen days prior to the effective date of the amendment. The contracting entity shall […]
Effective: June 25, 2008 Latest Legislation: House Bill 125 – 127th General Assembly (A) The department of insurance shall prescribe the credentialing application form used by the council for affordable quality healthcare (CAQH) in electronic or paper format for physicians. The department of insurance also shall prepare the standard credentialing form for all other providers […]
Effective: September 23, 2008 Latest Legislation: House Bill 125 – 127th General Assembly (A) If a provider, upon the oral or written request of a contracting entity to submit a credentialing form, submits a credentialing form that is not complete, the contracting entity that receives the form shall notify the provider of the deficiency electronically, […]
Effective: June 25, 2008 Latest Legislation: House Bill 125 – 127th General Assembly (A) All remittance notices sent by a payer, whether written or electronic, shall include both of the following: (1) The name of the payer issuing the payment to the participating provider; (2) The name of the contracting entity through which the payment […]
Effective: June 25, 2008 Latest Legislation: House Bill 125 – 127th General Assembly The superintendent of insurance shall adopt any rules necessary for the implementation of this chapter.
Effective: June 25, 2008 Latest Legislation: House Bill 125 – 127th General Assembly (A) A series of violations of this chapter by any person regulated by the department of insurance under Title XVII or Title XXXIX of the Revised Code that, taken together, constitute a pattern or practice of violating this chapter may be defined […]
Effective: June 25, 2008 Latest Legislation: House Bill 125 – 127th General Assembly This chapter does not apply with respect to any of the following: (A) A contract or provider agreement between a provider and the state or federal government, a state agency, or federal agency for health care services provided through a program for […]
Effective: September 29, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A) No contracting entity shall do any of the following: (1) Offer to a provider a health care contract that includes a most favored nation clause; (2) Enter into a health care contract with a provider that includes a most favored nation […]
