| Date: | 04/28/2023 |
|---|---|
| Organization: | Massachusetts Health Policy Commission |
| Regulatory Authority: |
MGL c. 6D, § 16 MGL c.176O |
| Official Version: | Purchase the official version |
958 CMR 3.000 establishes requirements for carriers in administering their internal grievance procedures and establishes the requirements for the conduct of external reviews of carriers' medical necessity adverse determinations. Also sets out requirements for continuity of care, referral to specialty care, and carrier reporting requirements.
This is an unofficial version of Commonwealth regulations and is posted here for the convenience of the public. It is not an official statement of the regulations.