Each managed care organization, in developing provider profiles or otherwise measuring health care provider performance, shall:
- (1) Make allowances for the severity of illness or condition of the patient mix;
- (2) make allowances for patients with multiple illnesses or conditions;
- (3) make available to the commissioner documentation of how the managed care organization makes such allowances; and
- (4) inform enrollees and participating providers, upon request, how the managed care organization considers patient mix when profiling or evaluating providers.
(P.A. 97-99, S. 7.)