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131 chapters · 1,085 sections in this title.
18 V.S.A. ch. 221, § 9418b Prior authorization
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§ 9418b. Prior authorization (a) Health plans shall pay claims for health care services for which prior authorization was required by and received from the health plan, unless: (1) the insured was not a covered individual at the time the service was rendered; (2) the insured’s be…
18 V.S.A. ch. 221, § 9418c Fair contract standards
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§ 9418c. Fair contract standards (a) Required information. (1) Each contracting entity shall provide and each health care contract shall obligate the contracting entity to provide participating health care providers information sufficient for the participating provider to determi…
18 V.S.A. ch. 221, § 9418d Contract amendments
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§ 9418d. Contract amendments (a) A health care contract may be amended by mutual agreement of the parties. (b) Absent mutual agreement of the parties, a health care contract may be amended only as follows: (1) The contracting entity shall provide to the participating provider not…
18 V.S.A. ch. 221, § 9418e Most favored nation clauses prohibited
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§ 9418e. Most favored nation clauses prohibited Not later than 180 days after the effective date of this section, no contracting entity shall do any of the following: (1) offer to a provider, hospital, pharmacist, or pharmacy a health care contract that includes a most favored na…