1. (a) A proponent of a managed care program in workers' compensation shall file a complete description of the program with the commissioner, who shall review the filing for compliance with the provisions of RSA 281-A:23-a and Lab 703.01.

2. (b) The filing shall include all information deemed by the proponent to be relevant to a determination of compliance hereunder, including as a minimum the following:

   1. (1) The name and business address of all health care providers included in the network as required in Lab 703.01(d);
   2. (2) A description of the program's procedure establishing compliance with Lab 703.01(g);
   3. (3) A description of the program's treatment protocols;
   4. (4) A description of the program's in-patient and out-patient case management programs establishing compliance with Lab 703.01(j);
   5. (5) A description of the program's procedures establishing compliance with Lab 703.01(o);
   6. (6) Sample employee information material establishing compliance with Lab 704.02(a)(1); and
   7. (7) Any further information requested by the commissioner in order to determine whether the proposed managed care program complies with the provisions of RSA 281-A:23-a and this chapter.
3. (c) The format of filing shall include a printed spreadsheet of healthcare providers in the network with columns for county, specialty and provider, and an alphabetical listing at the end with all the providers for each county.
4. (d) The geographic area for which the proponent seeks approval of the managed care program shall be the entire state of New Hampshire.

Source. . #5788, eff 2-17-94, EXPIRED: 2-17-00 New. #7212, INTERIM, eff 3-2-00, EXPIRED: 6-30-00 New. #7338, eff 8-2-00; ss by #9217, eff 8-1-08; ss by #12013, eff 10-25-16