New Hampshire Revised Statutes
Title 420-J - Managed Care Law
Section 420-J:7-b - Prescription Drugs.

Source. 1999, 286:1. 2003, 286:5. 2004, 187:15-17. 2007, 73:2. 2013, 257:30; 262:1. 2014, 2:1, eff. April 21, 2014; 120:2, eff. Aug. 15, 2014; 311:3, eff. Jan. 1, 2015. 2016, 221:6, eff. June 9, 2016; 228:2, eff. June 9, 2016. 2019, 137:1, eff. Aug. 24, 2019; 180:1, 2, eff. Sept. 8, 2019. 2020, 13:8, eff. Jan. 1, 2021. 2021, 149:2, eff. Sept. 21, 2021.

Structure New Hampshire Revised Statutes

New Hampshire Revised Statutes

Title XXXVII - Insurance

Title 420-J - Managed Care Law

Section 420-J:1 - Purpose and Intent.

Section 420-J:2 - Applicability and Scope.

Section 420-J:3 - Definitions.

Section 420-J:3-a - Access to Enhanced 911 System.

Section 420-J:3-b - Pre-certification Requirement.

Section 420-J:4 - Credentialing Verification Procedures.

Section 420-J:4-a - Facility Credentialing.

Section 420-J:5 - Grievance Procedures.

Section 420-J:5-a - Right to External Review.

Section 420-J:5-b - Standard External Review.

Section 420-J:5-c - Expedited External Review.

Section 420-J:5-d - Certification of Independent Review Organizations.

Section 420-J:5-e - General Provisions Regarding External Review.

Section 420-J:6 - Utilization Review.

Section 420-J:6-a - Obstetrical-Gynecological Coverage.

Section 420-J:6-b - Self-Referrals for Chiropractic Care.

Section 420-J:6-c - Third-Party Payment of Covered, Court-Ordered Services.

Section 420-J:6-d - Coverage for Dependents.

Section 420-J:6-e - Coverage for Medically Necessary Dental Services.

Section 420-J:7 - Network Adequacy.

Section 420-J:7-b - Prescription Drugs.

Section 420-J:7-c - Disqualification of Certain Physicians Prohibited.

Section 420-J:7-d - Continued Access to Care Subsequent to a Provider Contract Termination.

Section 420-J:7-e - Notice of Consumer Rights.

Section 420-J:8 - Provider Contract Standards.

Section 420-J:8-a - Prompt Payment Required.

Section 420-J:8-b - Retroactive Denials Prohibited; Exceptions.

Section 420-J:8-c - Reimbursement for Providers Waiting for Health Carrier Credentialing Verification.

Section 420-J:8-d - Dependent Coverage.

Section 420-J:8-e - Reasonable Value of Health Care Services.

Section 420-J:8-f - Non-Covered Dental Services.

Section 420-J:9 - Quality Assessment, Quality Improvement, and Reporting.

Section 420-J:10 - Confidentiality of Insurer Records.

Section 420-J:11 - Confidentiality of Insurance Department Records.

Section 420-J:12 - Rulemaking Authority.

Section 420-J:13 - Severability.

Section 420-J:14 - Penalties.

Section 420-J:15 - Definitions.

Section 420-J:16 - Levels of Care Criteria; Attestation.

Section 420-J:17 - Prior Authorization.

Section 420-J:18 - Authorization for Medication-Assisted Treatment.

Section 420-J:19 - Medication Synchronization.