Title 27, Title 27 Title 27

No contract between a dental plan of a healthcare entity and a dentist for the provision of services to beneficiaries may require that a dentist provide services to its patients at a fee set by the healthcare entity unless said services are covered services under the applicable s…

(a) No contract between an eye care provider and a healthcare entity or vision plan may require that an eye care provider provide services or materials to its beneficiaries at a fee set by the insurer or vision plan, unless the insurer or vision plan compensates the eye care prov…

The office shall establish reporting requirements to determine if healthcare entities and/or network plans are in compliance with the provisions of this chapter and applicable regulations as well as in compliance with applicable federal law.

The health insurance commissioner may promulgate such rules and regulations as are necessary and proper to effectuate the purpose and for the efficient administration and enforcement of this chapter.

Adopted pursuant to this chapter; (a) The office may deny a certificate or certification upon review of the application if, upon review of the application, it finds that the applicant proposing to establish a network plan does not meet the standards required by this chapter or by…

For the purposes of this chapter, in addition to the provisions of § 27-18.8-8, a healthcare entity or any person or entity conducting any activities requiring certification under this chapter shall be subject to the penalty and enforcement provisions of this title and chapters 1…