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Rule Title: SELECTING AND CHANGING PROVIDERS
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Department: STATE AUDITOR
Chapter: INSURANCE DEPARTMENT
Subchapter: Network Adequacy for Managed Care Plans
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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6.6.8835    SELECTING AND CHANGING PROVIDERS

(1) Enrollees must be allowed to change primary care providers at least once per benefit year.

(2) The health carrier will monitor the frequency of enrollees' requests to change primary care providers and shall have in place a policy to address situations in which a provider has patient turnover rates that are significantly higher than the average rate within the health carrier's network.

 

History: 33-36-105, MCA; IMP, 33-36-105, 33-36-201, MCA; NEW, 1999 MAR p. 2052, Eff. 9/24/99; TRANS, from 37.108.235, 2023 MAR p. 1401, Eff. 10/21/23.


 

 
MAR Notices Effective From Effective To History Notes
6-282 10/21/2023 Current History: 33-36-105, MCA; IMP, 33-36-105, 33-36-201, MCA; NEW, 1999 MAR p. 2052, Eff. 9/24/99; TRANS, from 37.108.235, 2023 MAR p. 1401, Eff. 10/21/23.
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