Article 7 - Standards

  1. § 1300.67 - Scope of Basic Health Care Services
  2. § 1300.67.003 - State Medical Loss Ratio Annual Report
  3. § 1300.67.005 - Essential Health Benefits
  4. § 1300.67.01 - Covid-19 Diagnostic Testing. [Repealed]
  5. § 1300.67.02 - Transfer of Enrollees Pursuant to a Public Health Order
  6. § 1300.67.04 - Language Assistance Programs
  7. § 1300.67.05 - Acts of War Exclusions
  8. § 1300.67.1 - Continuity of Care
  9. § 1300.67.1.3 - Block Transfer Filings
  10. § 1300.67.2 - Accessibility of Services
  11. § 1300.67.2.1 - Geographic Accessibility Standards
  12. § 1300.67.2.2 - Timely Access to Non-Emergency Health Care Services and Annual Timely Access and Network Reporting Requirements
  13. § 1300.67.2.3 - Timely Access Quality Assurance for Measurement Year 2022
  14. § 1300.67.3 - Standards for Plan Organization
  15. § 1300.67.4 - Subscriber and Group Contracts
  16. § 1300.67.8 - Contracts with Providers
  17. § 1300.67.10 - Discrimination Prohibited. [Repealed]
  18. § 1300.67.11 - Disclosure of Conflicts of Interest
  19. § 1300.67.12 - Contracts with Solicitor Firms
  20. § 1300.67.13 - Coordination of Benefits ("COB")
  21. § 1300.67.205 - Standard Prescription Drug Formulary Template
  22. § 1300.67.24 - Outpatient Prescription Drug Copayments, Coinsurance, Deductibles, Limitations and Exclusions
  23. § 1300.67.241 - Prescription Drug Prior Authorization or Step Therapy Exception Request Form Process
  24. § 1300.67.50 - Certain Medicare Supplement Contracts: Presumption of Unfairness. [Repealed]
  25. § 1300.67.51 - Medicare Supplement Contract Provisions. [Repealed]
  26. § 1300.67.52 - Medicare Supplement Additional Benefit Requirements. [Repealed]
  27. § 1300.67.53 - Medicare Supplement Minimum Aggregate Benefits. [Repealed]
  28. § 1300.67.55 - Medicare Supplement Reporting Requirements. [Repealed]
  29. § 1300.67.56 - Transitional Requirements for the Conversion of Medicare Supplement Contracts to Conform to Medicare Program Revisions. [Repealed]
  30. § 1300.67.57 - Format for Notices of Changes in Coverage. [Repealed]
  31. § 1300.67.58 - Participating Physician or Supplier Claims Form Requirement. (Compliance with Section 4081 of the Omnibus Budget Reconciliation Act of 1987) [Repealed]
  32. § 1300.67.59 - Format for Reporting Loss Ratio Experience. [Repealed]

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.