DOCKET NO. G2013-09

Proposed Amendments to 211 CMR 52.00 – Managed Care

 Consumer Protections and Accreditation of Carriers


 Pursuant to Massachusetts General Laws Chapter 30A and the authority granted to the Commissioner of Insurance under SECTION 37 of Chapter 288 of the Acts of 2010, a hearing will be held at the offices of the Division of Insurance (“Division”), 1000 Washington Street, Boston, MA  02118-6200 on October 23, 2013 at 1:00 p.m.  The purpose of this hearing is to afford all interested persons an opportunity to provide oral and/or written comment regarding the proposed amendments to 211 CMR 52.00 pdf format of 211-52-proposed2013.pdf
, Managed Care Consumer Protections and Accreditation of Carriers.

The proposed amendments to 211 CMR 52.00 would implement uniform standards and processes for provider credentialing as required by SECTION 37 of Chapter 288 of the Acts of 2010, implement revisions to provider contracting requirements as required by SECTION 39 of Chapter 288 of the Acts of 2010 and provide guidance for network adequacy and access pursuant to SECTION 103 of Chapter 359 of the Acts of 2010, which amends Chapter 288 of the Acts of 2010 to add Section 32A. 

The proceedings concerning the promulgation of amendments to 211 CMR 52.00 shall be designated as Docket No. G2013-09.  Any person who wishes to provide oral comment concerning this regulation must file a Notice of Intent to Comment with the Docket Clerk no later than October 22, 2013.  Persons wishing to submit written comments may do so until the record of the hearing is closed.  All submissions must be sent to the Docket Clerk, Hearings and Appeals, Division of Insurance, 1000 Washington Street, Suite 810, Boston, MA  02118-6200, or by electronic mail to and must refer to Docket No. G2013-09 in the subject line.  Persons who do not file a Notice of Intent to Comment will be heard after those who notify the Division in advance of the hearing. 

A copy of the regulation with proposed amendments is available from the Division and also is posted on its website at:   




                                                                                    Joseph G. Murphy

                                                                                    Commissioner of Insurance


Dated:  September 12, 2013

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