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N.H. Rev. Stat. Ann. ch. 420-J – Managed Care Law | Midpage
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New Hampshire Revised Statutes Annotated
Title XXXVII
Chapter 420-J
N.H. Rev. Stat. Ann. ch. 420-J
Managed Care Law
420-J:1
Purpose and Intent
420-J:2
Applicability and Scope
420-J:3
Definitions
420-J:3-a
Access to Enhanced 911 System
420-J:3-b
Pre-certification Requirement
420-J:4
Credentialing Verification Procedures
420-J:4-a
Facility Credentialing
420-J:5
Grievance Procedures
420-J:5-a
Right to External Review
420-J:5-b
Standard External Review
420-J:5-c
Expedited External Review
420-J:5-d
Certification of Independent Review Organizations
420-J:5-e
General Provisions Regarding External Review
420-J:6
Utilization Review
420-J:6-a
Obstetrical-Gynecological Coverage
420-J:6-b
Self-Referrals for Chiropractic Care
420-J:6-c
Third-Party Payment of Covered, Court-Ordered Services
420-J:6-d
Coverage for Dependents
420-J:6-e
Coverage for Medically Necessary Dental Services
420-J:7
Network Adequacy
420-J:7-b
Prescription Drugs
420-J:7-c
Disqualification of Certain Physicians Prohibited
420-J:7-d
Continued Access to Care Subsequent to a Provider Contract Termination
420-J:7-e
Notice of Consumer Rights
420-J:8
Provider Contract Standards
420-J:8-a
Prompt Payment Required
420-J:8-b
Retroactive Denials Prohibited; Exceptions
420-J:8-c
Reimbursement for Providers Waiting for Health Carrier Credentialing Verification
420-J:8-d
Dependent Coverage
420-J:8-e
Determining the Fair Value of Certain Health Care Items or Services Provided by Nonparticipating Providers
420-J:8-f
Non-Covered Dental Services
420-J:8-g
Coverage and Payment for Emergency Services Provided by Nonparticipating Providers or Nonparticipating Emergency Facilities
420-J:8-h
Coverage and Payment for Services Provided at Participating Facilities by Nonparticipating Providers
420-J:9
Quality Assessment, Quality Improvement, and Reporting
420-J:10
Confidentiality of Insurer Records
420-J:11
Confidentiality of Insurance Department Records
420-J:12
Rulemaking Authority
420-J:13
Severability
420-J:14
Penalties
Substance Use Disorders
Reimbursement for Ground Ambulance Services