New Hampshire Statutes
Table of Contents
CHAPTER 420-J: MANAGED CARE LAW
Section: 420-J:1 Purpose and Intent.
Section: 420-J:2 Applicability and Scope.
Section: 420-J:3 Definitions.
Section: 420-J:3-a Access to Enhanced 911 System.
Section: 420-J:3-b Pre-certification Requirement.
Section: 420-J:4 Credentialing Verification Procedures.
Section: 420-J:4-a Facility Credentialing.
Section: 420-J:5 Grievance Procedures.
Section: 420-J:5-a Right to External Review.
Section: 420-J:5-b Standard External Review.
Section: 420-J:5-c Expedited External Review.
Section: 420-J:5-d Certification of Independent Review Organizations.
Section: 420-J:5-e General Provisions Regarding External Review.
Section: 420-J:6 Utilization Review.
Section: 420-J:6-a Obstetrical-Gynecological Coverage.
Section: 420-J:6-b Self-Referrals for Chiropractic Care.
Section: 420-J:6-c Third-Party Payment of Covered, Court-Ordered Services.
Section: 420-J:6-d Coverage for Dependents.
Section: 420-J:6-e Coverage for Medically Necessary Dental Services.
Section: 420-J:7 Network Adequacy.
Section: 420-J:7-a Repealed by 2007, 33:2, eff. July 13, 2007.
Section: 420-J:7-b Prescription Drugs.
Section: 420-J:7-c Disqualification of Certain Physicians Prohibited.
Section: 420-J:7-d Continued Access to Care Subsequent to a Provider Contract Termination.
Section: 420-J:7-e Notice of Consumer Rights.
Section: 420-J:8 Provider Contract Standards.
Section: 420-J:8-a Prompt Payment Required.
Section: 420-J:8-b Retroactive Denials Prohibited; Exceptions.
Section: 420-J:8-c Reimbursement for Providers Waiting for Health Carrier Credentialing Verification.
Section: 420-J:8-d Dependent Coverage.
Section: 420-J:8-e Determining the Fair Value of Certain Health Care Items or Services Provided by Nonparticipating Providers.
Section: 420-J:8-f Non-Covered Dental Services.
Section: 420-J:8-g Coverage and Payment for Emergency Services Provided by Nonparticipating Providers or Nonparticipating Emergency Facilities.
Section: 420-J:8-h Coverage and Payment for Services Provided at Participating Facilities by Nonparticipating Providers.
Section: 420-J:9 Quality Assessment, Quality Improvement, and Reporting.
Section: 420-J:10 Confidentiality of Insurer Records.
Section: 420-J:11 Confidentiality of Insurance Department Records.
Section: 420-J:12 Rulemaking Authority.
Section: 420-J:13 Severability.
Section: 420-J:14 Penalties.
Substance Use Disorders
Section: 420-J:15 Definitions.
Section: 420-J:16 Levels of Care Criteria; Attestation.
Section: 420-J:17 Prior Authorization.
Section: 420-J:18 Authorization for Medication-Assisted Treatment.
Section: 420-J:19 Medication Synchronization.
Reimbursement for Ground Ambulance Services
Section: 420-J:20 Definitions.
Section: 420-J:21 Rate Schedule Established for Certain Ground Ambulance Providers.
Section: 420-J:22 Rate Schedule Established for Nonparticipating Ground Ambulance Providers.
Section: 420-J:23 Standardized Ground Ambulance Provider Contract.
Section: 420-J:24 Contract Negations between Ambulance Providers and Health Carriers.
Section: 420-J:25 Temporary Maintenance of a Registry of Providers Who Qualify as an Enrolling Ground Ambulance Provider.
Section: 420-J:26 Requiring an Independent Study by an Accounting and Actuarial Expert of Ground Ambulance Costs in the State and the Establishment of a Cost-Based Reimbursement Schedule for Participating Ground Ambulance Service Providers.