Mo. Code Regs. Ann. tit. 20, § 400-7.200
Provider Selection Standards
Effective Aug 30, 2004sections 354.485 and 374.045, RSMo 2000 and 354.606, RSMo Supp. 2003.* Original rule filed Nov. 3, 1997, effective May 30, 1998. Amended: Filed Feb. 27, 2004, effective Aug. 30, 2004. *Original authority: 354.485, RSMo 1983; 354.606, RSMo 1997, amended 2001; and 374.045, RSMo 1967, 1993, 1995Life, Annuities and Health
PURPOSE: This rule sets forth the reporting requirements of each health carrier found in section 354.606, RSMo, H.B. 335, 1997, to file its selection standards for all participating providers.
- (1) Every health carrier, including its intermediaries and any provider networks with which it contracts, shall file with the director annually, on or before March 1, a complete copy of all selection standards and any modifications thereto, for the selection of participating primary care professionals and participating health care professional specialties.
- (2) Every health carrier shall make the information required to be reported by this rule available directly to all licensed health care providers upon request.
AUTHORITY: sections 354.485 and 374.045, RSMo 2000 and 354.606, RSMo Supp. 2003.* Original rule filed Nov. 3, 1997, effective May 30, 1998. Amended: Filed Feb. 27, 2004, effective Aug. 30, 2004. *Original authority: 354.485, RSMo 1983; 354.606, RSMo 1997, amended 2001; and 374.045, RSMo 1967, 1993, 1995.