2019 Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance
Part 2. Network Adequacy
33-36-210. Contract filing requirements -- material changes -- state access to contracts
33-36-210. Contract filing requirements -- material changes -- state access to contracts. (1) On October 1, 1999, a health carrier offering a managed care plan shall file with the department sample contract forms proposed for use with its participating providers and intermediaries.
(2) A health carrier shall file with the department a material change to a contract. The change must be filed with the department at least 60 days before use of the proposed change. A change in a participating provider payment rate, coinsurance, copayment, or deductible or other plan benefit is not considered a material change for the purpose of this subsection.
(3) A health carrier shall maintain participating provider and intermediary contracts at its principal place of business in this state, or the health carrier must have access to all contracts and provide copies to the department upon 20 days' prior written notice from the department.
History: En. Sec. 19, Ch. 413, L. 1997.
