Section 12. (a) No provider or provider organization may negotiate network contracts with any carrier or third-party administrator except for a provider or provider organizations which are registered under this chapter and regulations promulgated under this chapter; provided, however, that nothing in this chapter shall require a provider or provider organization with a patient panel of 15,000 or fewer or which represents providers who collectively receive, less than $25,000,000 in annual net patient service revenue from carriers or third-party administrators to be registered if such provider or provider is not a risk-bearing provider organization.
(b) Nothing in this chapter shall require a carrier to negotiate a network contract with a registered provider organization or with a registered provider or provider organization for all providers that are part of, or represented by, a registered provider organization.
Structure Massachusetts General Laws
Part I - Administration of the Government
Title II - Executive and Administrative Officers of the Commonwealth
Chapter 6d - Health Policy Commission
Section 2 - Health Policy Commission; Governing Board; Members; Duties and Powers; Annual Report
Section 2a - Confidentiality of Nonpublic Clinical, Financial, Strategic or Operational Documents
Section 3 - Board Powers and Duties
Section 5 - Monitoring of Health Care Delivery and Payment System
Section 8 - Public Hearings; Witnesses; Annual Report
Section 9 - Health Care Cost Growth Benchmark; Modification
Section 11 - Registration Program for Provider Organizations; Division of Insurance Risk Certificate
Section 15 - Certification as Accountable Care Organization (Aco); Standards
Section 16 - Office of Patient Protection; Powers and Duties; External Review System
Section 17 - Annual Report; Audits
Section 18 - Adoption of Regulations to Implement Chapter 6d
Section 19 - Early Childhood Investment Opportunity Grant Program