Subchapter 1. General Provisions

SECTION 310:657-1-1. Purpose

SECTION 310:657-1-2. Definitions

SECTION 310:657-1-3. Severability

Subchapter 3. Provider Credentialing

SECTION 310:657-3-1. General considerations

SECTION 310:657-3-2. Credentialing responsibilities

SECTION 310:657-3-3. Provider review process

Subchapter 5. Quality Assurance

SECTION 310:657-5-1. Purpose and intent

SECTION 310:657-5-2. Quality assessment and quality improvement

SECTION 310:657-5-3. Reporting and disclosure requirements

SECTION 310:657-5-4. Inspections

Subchapter 7. Utilization Review

SECTION 310:657-7-1. Purpose and intent

SECTION 310:657-7-2. Scope and content of utilization review

SECTION 310:657-7-3. Operational requirements

SECTION 310:657-7-4. Utilization review decision

SECTION 310:657-7-5. Denial of service

SECTION 310:657-7-6. Dispute resolution procedures

SECTION 310:657-7-7. Disclosure requirements

Subchapter 9. Geographic Service Areas

SECTION 310:657-9-1. Access to providers

SECTION 310:657-9-2. Required filings

SECTION 310:657-9-3. Access to services

Subchapter 11. Grievance System

SECTION 310:657-11-1. Grievance system required

SECTION 310:657-11-2. Grievance forms

SECTION 310:657-11-3. Time frames

SECTION 310:657-11-4. Effect of arbitration

SECTION 310:657-11-5. Request for assistance

Subchapter 13. Ownership and Control of a Plan

SECTION 310:657-13-1. Ownership

SECTION 310:657-13-2. Removal or transfer of property

SECTION 310:657-13-3. Accounts, books and records

SECTION 310:657-13-4. Governing body oversight

SECTION 310:657-13-5. Ownership and control safeguards

Subchapter 15. Financial Requirements

SECTION 310:657-15-1. Net worth requirement

SECTION 310:657-15-2. Applicability

SECTION 310:657-15-3. Errors and omissions policy

SECTION 310:657-15-4. Fidelity bond [revoked]

SECTION 310:657-15-5. Preference of claims [revoked]

SECTION 310:657-15-6. Liability insurance

SECTION 310:657-15-7. Provider contracts [revoked]

SECTION 310:657-15-8. Projections

SECTION 310:657-15-9. Impairment

Subchapter 17. Contracts and Service Explanations

SECTION 310:657-17-1. Purpose

SECTION 310:657-17-2. Contents of the insurers' or insureds' contract

SECTION 310:657-17-3. Provider directory

SECTION 310:657-17-4. Commissioner review

SECTION 310:657-17-5. Service changes

SECTION 310:657-17-6. Provider contracts

Subchapter 19. Confidentiality

SECTION 310:657-19-1. Responsibility of Plan

SECTION 310:657-19-2. Responsibility of Commissioner

Subchapter 21. Applying for a Certificate

SECTION 310:657-21-1. Application required

SECTION 310:657-21-2. Deadlines for filing

SECTION 310:657-21-3. Where to file

SECTION 310:657-21-4. Description of application form

Subchapter 23. Approval or Denial of Application

SECTION 310:657-23-1. Conditions for approval

SECTION 310:657-23-2. Duration of certificate

SECTION 310:657-23-3. Certificate transfer

SECTION 310:657-23-4. Denial of Application

SECTION 310:657-23-5. Appeals

Subchapter 25. Withdrawal of a Certificate

SECTION 310:657-25-1. Conditions to revoke or suspend

SECTION 310:657-25-2. Suspended certificate

SECTION 310:657-25-3. Revoked certificate

SECTION 310:657-25-4. Person requesting action

Subchapter 27. Reports and Filings

SECTION 310:657-27-1. Annual reports

SECTION 310:657-27-2. Application form changes

SECTION 310:657-27-3. Commissioner review

SECTION 310:657-27-4. Maintenance of records

SECTION 310:657-27-5. Documents as public record

Subchapter 29. Restricted and Prohibited Acts

SECTION 310:657-29-1. Restricted provision of services

SECTION 310:657-29-2. Prohibited acts

SECTION 310:657-29-3. Enforcement

Subchapter 31. Terminating and Continuing Services

SECTION 310:657-31-1. Terminating services

SECTION 310:657-31-2. Bankruptcy strategy [revoked]

SECTION 310:657-31-3. Dismissal from the Plan for cause

SECTION 310:657-31-4. Notice

Subchapter 33. Powers of a Plan

SECTION 310:657-33-1. Powers

SECTION 310:657-33-2. Notice of exercise of powers

Subchapter 35. Enrollment and Election Process [revoked]

SECTION 310:657-35-1. Obligations of Plan and insurer or insured [revoked]

SECTION 310:657-35-2. Description of the notice and election form [revoked]