Rhode Island § 27-19-43 § 27-19-43. Restricted annual rate payments prohibited.

Rhode Island Statutes

§ 27-19-43 — § 27-19-43. Restricted annual rate payments prohibited.

Rhode Island·Title 27 Insurance·Ch. 27-19 Nonprofit Hospital Service Corporations

§ 27-19-43. Restricted annual rate payments prohibited.
(a) No corporation organized under this chapter shall compensate any provider of outpatient
            service by using the restricted annual rate method of payment.
         
(b) The "restricted annual rate method of paymentâ€� is defined as any method of payment
            that sets, as all or part of its payment scheme, a total payment limit for mental
            health and/or substance abuse treatment services for each person seeking treatment
            based on a per person per unit of time criterion that disregards the extent of treatment
            and/or degree of services rendered.
         
Free access — add to your briefcase to read the full text and ask questions with AI

§ 27-19-43. Restricted annual rate payments prohibited.

(a) No corporation organized under this chapter shall compensate any provider of outpatient service by using the restricted annual rate method of payment.

(b) The "restricted annual rate method of paymentâ€� is defined as any method of payment that sets, as all or part of its payment scheme, a total payment limit for mental health and/or substance abuse treatment services for each person seeking treatment based on a per person per unit of time criterion that disregards the extent of treatment and/or degree of services rendered.

(c) This prohibition shall not be construed to prohibit or limit capitation or other risk-sharing agreements between providers and insurers otherwise permissible by law.

Rhode Island § 27-19-43 (§ 27-19-43. Restricted annual rate payments prohibited.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.