Connecticut § 38a-479cc Duties of a preferred provider network when providing services pursuant to a contract with a managed care organization.

Connecticut Statutes

§ 38a-479cc — Duties of a preferred provider network when providing services pursuant to a contract with a managed care organization.

Connecticut § 38a-479cc

Title 38aInsurance

Ch. 700cHealth Insurance

This text of Connecticut § 38a-479cc (Duties of a preferred provider network when providing services pursuant to a contract with a managed care organization.) is published on Counsel Stack Legal Research, covering Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Conn. Gen. Stat. § 38a-479cc (2026).

Text

(a)Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the preferred provider network may not establish any terms, conditions or requirements for access, diagnosis or treatment that are different from the terms, conditions or requirements for access, diagnosis or treatment in the managed care organization's plan, except that no preferred provider network shall be required to provide an enrollee access to a provider who does not participate in the preferred provider network unless the preferred provider network is required to provide such access under its contract with the managed care organization.

(b)Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the pre

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(a) Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the preferred provider network may not establish any terms, conditions or requirements for access, diagnosis or treatment that are different from the terms, conditions or requirements for access, diagnosis or treatment in the managed care organization's plan, except that no preferred provider network shall be required to provide an enrollee access to a provider who does not participate in the preferred provider network unless the preferred provider network is required to provide such access under its contract with the managed care organization. (b) Whenever a preferred provider network is providing services pursuant to a contract with a managed care organization, the preferred provider network shall pay for the delivery of health care services and operate and maintain arrangements or contracts with providers in a manner consistent with the provisions of law that apply to the managed care organization's contracts with enrollees and providers.