Article 7. Standards

• § 1300.67. Scope of Basic Health Care Services.
• § 1300.67.003. State Medical Loss Ratio Annual Report.
• § 1300.67.005. Essential Health Benefits.
• § 1300.67.01. Covid-19 Diagnostic Testing. [Repealed]
• § 1300.67.02. Transfer of Enrollees Pursuant to a Public Health Order.
• § 1300.67.04. Language Assistance Programs.
• § 1300.67.05. Acts of War Exclusions.
• § 1300.67.1. Continuity of Care.
• § 1300.67.1.3. Block Transfer Filings.
• § 1300.67.2. Accessibility of Services.
• § 1300.67.2.1. Geographic Accessibility Standards.
• § 1300.67.2.2. Timely Access to Non-Emergency Health Care Services and Annual Timely Access and Network Reporting Requirements.
• § 1300.67.2.3. Timely Access Quality Assurance for Measurement Year 2022.
• § 1300.67.3. Standards for Plan Organization.
• § 1300.67.4. Subscriber and Group Contracts.
• § 1300.67.8. Contracts with Providers.
• § 1300.67.10. Discrimination Prohibited. [Repealed]
• § 1300.67.11. Disclosure of Conflicts of Interest.
• § 1300.67.12. Contracts with Solicitor Firms.
• § 1300.67.13. Coordination of Benefits (“COB”).
• § 1300.67.205. Standard Prescription Drug Formulary Template.
• § 1300.67.24. Outpatient Prescription Drug Copayments, Coinsurance, Deductibles, Limitations and Exclusions.
• § 1300.67.241. Prescription Drug Prior Authorization or Step Therapy Exception Request Form Process.
• § 1300.67.50. Certain Medicare Supplement Contracts: Presumption of Unfairness. [Repealed]
• § 1300.67.51. Medicare Supplement Contract Provisions. [Repealed]
• § 1300.67.52. Medicare Supplement Additional Benefit Requirements. [Repealed]
• § 1300.67.53. Medicare Supplement Minimum Aggregate Benefits. [Repealed]
• § 1300.67.55. Medicare Supplement Reporting Requirements. [Repealed]
• § 1300.67.56. Transitional Requirements for the Conversion of Medicare Supplement Contracts to Conform to Medicare Program Revisions. [Repealed]
• § 1300.67.57. Format for Notices of Changes in Coverage. [Repealed]
• § 1300.67.58. Participating Physician or Supplier Claims Form Requirement. (Compliance with Section 4081 of the Omnibus Budget Reconciliation Act of 1987) [Repealed]
• § 1300.67.59. Format for Reporting Loss Ratio Experience. [Repealed]