Conn. Agencies Regs. § 38a-478u-3 - Annual filing requirements
Each managed care organization shall file annually the information specified below.
A survey based on prior calendar year information to be submitted on a form adopted by the commissioner.
Model provider contracts that contain the provisions currently in force in the contracts with providers who participate in networks utilized in this state by the managed care organizations. In a case where a managed care organization does not contract directly with providers, the managed care organization shall also provide written assurance that it will not enter into agreements with networks or other entities whose provider contracts violate any of the provisions of Public Act 97-99. If requested by the commissioner, a copy of any signed individual contract shall be filed but proprietary fee schedule information may be withheld or redacted.
A written description of the types of financial arrangements between the managed care organization and hospitals, utilization review companies, physicians and other entities that provide health care services or supplies to enrollees. "Financial arrangements" means the terms which are the basis for compensation for services and supplies provided to enrollees.
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