C.M.R. 02, 031, ch. 850 - HEALTH PLAN ACCOUNTABILITY

  1. § 031-850-1 - Purpose
  2. § 031-850-2 - Authority
  3. § 031-850-3 - Applicability and Scope
  4. § 031-850-4 - Affordable Care Act
  5. § 031-850-5 - Definitions
  6. § 031-850-6 - Quality Assurance Standards
  7. § 031-850-7 - Access to Services
  8. § 031-850-8 - Adverse Health Care Treatment Decisions
  9. § 031-850-9 - Adverse Benefit Determinations not Involving Adverse Health Care Treatment Decisions
  10. § 031-850-10 - Grievance Register and Grievance Procedures
  11. § 031-850-11 - Reporting Requirements
  12. § 031-850-12 - Effective Date

Notes

C.M.R. 02, 031, ch. 850
EFFECTIVE DATE (AS CHAPTER 520):
February 9, 1991
EFFECTIVE DATE (ELECTRONIC CONVERSION):
January 14, 1997
CHAPTER 520 REPEALED, REPLACED BY CHAPTER 850:
October 25, 1997. (Note: As specified in Section 4(A), this is 180 days after final adoption, which occurred on April 28, 1997.)
AMENDED:
March 19, 2002
January 3, 2004, filing 2003-485 - Subsection 7(G), routine technical language only
NON-SUBSTANTIVE CORRECTIONS:
February 4, 2004 - language restored in Section 7. C. 3).c)
March 24, 2004 - minor punctuation and spacing
AMENDED:
June 9, 2004 - filing 2004-153, major substantive language
NON-SUBSTANTIVE CORRECTION:
August 31, 2004 - spelling in Section 3
AMENDED:
The 2007 Amendments to the rule are major substantive amendments and were provisionally adopted on December 6, 2007. Pursuant to 5 M.R.S.A. §8072the rule has legal effect only after review by the Legislature followed by final adoption by the agency. The 2007 amendments to the rule are effective June 29, 2008, filing 2008-233.
AMENDED:
May 24, 2012 - filing 2012-111 (final adoption, major substantive)
AMENDED:
5/24/2020 filing 2020- 120 (routine technical)

STATUTORY AUTHORITY: 24-A M.R.S. §§2772 - 2774, 4218, 4222-A, 4303 and 4309; Resolve 2007 ch. 160

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