Connecticut General Statutes 38a-478f – Provider profile development requirements
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Each managed care organization, in developing provider profiles or otherwise measuring health care provider performance, shall: (1) Make allowances for the severity of illness or condition of the patient mix; (2) make allowances for patients with multiple illnesses or conditions; (3) make available to the commissioner documentation of how the managed care organization makes such allowances; and (4) inform enrollees and participating providers, upon request, how the managed care organization considers patient mix when profiling or evaluating providers.
Terms Used In Connecticut General Statutes 38a-478f
- Commissioner: means the Insurance Commissioner. See Connecticut General Statutes 38a-1