211 CMR 52.08 - Quality Management and Improvement

Current through Register 1466, April 1, 2022

(1) Standards. A Carrier's application will be reviewed for compliance with the applicable NCQA Standards for quality management and improvement.
(2) Workers' Compensation Preferred Provider Arrangements. A Carrier that provides specified services through a workers' compensation preferred provider arrangement shall be deemed to have met the requirements of 211 CMR 52.08 if it has met the requirements of 452 CMR 6.00: Utilization Review and Quality Assessment.

Notes

211 CMR 52.08
Amended by Mass Register Issue 1345, eff. 8/11/2017.

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