What is the patient's rights law for managed care?
Chapter 141 of the Acts of 2000 was signed into law by former Governor Cellucci on July 21, 2000. This law created the Office of Patient Protection within the Department of Public Health, and added chapter 176O, Health Insurance Consumer Protections, to the Massachusetts General Laws. Under chapter 176O, which took effect on January 1, 2001, Massachusetts consumers and other individuals who receive health coverage from a Massachusetts insurer or HMO are entitled to new protections covering internal grievances, medical necessity guidelines, continuity of care and independent external reviews.

To whom does the law apply?
The law applies to fully insured health plans issued in Massachusetts. The law does not apply to self-funded employer health plans, Medicare, Medicaid or federal employee plans. If you have questions about whether the law applies to your health plan, call the Office of Patient Protection at 1-800-436-7757.

This information is provided by the Office of Patient Protection within the Department of Public Health.

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