[Paragraph XVII repealed by 2021, 189:6 effective January 1, 2025.]
[Paragraph XVIII effective January 1, 2023.]
Source. 1997, 345:1. 1998, 377:3. 1999, 284:1. 2000, 18:14; 198:1. 2002, 207:11. 2003, 284:2, 9. 2005, 161:1. 2007, 195:1. 2009, 252:3, eff. Sept. 14, 2009. 2016, 177:3, eff. Jan. 1, 2017. 2017, 223:1, eff. July 11, 2017; 223:2, eff. May 1, 2018. 2018, 92:1, eff. May 25, 2018; 92:2, eff. June 30, 2020; 164:1, eff. Jan. 1, 2019. 2019, 226:1, eff. Sept. 10, 2019. 2021, 189:5, eff. Aug. 10, 2021. 2022, 84:1, eff. Jan. 1, 2023.
Structure New Hampshire Revised Statutes
New Hampshire Revised Statutes
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-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: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.