New Hampshire Revised Statutes
Title XXXVII - Insurance
Title 420-J - Managed Care Law

Section 420-J:1 - Purpose and Intent. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:2 - Applicability and Scope. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:3 - Definitions. - Source. 1997, 345:1; 345:10. 2000, 18:4, 11, 12. 2001, 207:10,...

Section 420-J:3-a - Access to Enhanced 911 System. - Source. 2000, 104:2, eff. July 7, 2000.

Section 420-J:3-b - Pre-certification Requirement. - Source. 2007, 289:26, eff. Jan. 1, 2008.

Section 420-J:4 - Credentialing Verification Procedures. - Source. 1997, 345:1. 2002, 207:41. 2007, 98:1, eff. Aug. 10,...

Section 420-J:4-a - Facility Credentialing. - Source. 2021, 183:9, eff. Sept. 9, 2021.

Section 420-J:5 - Grievance Procedures. - Source. 1997, 345:1. 2000, 18:6-10, 17. 2001, 207:12. 2003, 175:9,...

Section 420-J:5-a - Right to External Review. - Source. 2000, 18:13. 2001, 207:15. 2005, 248:21. 2012, 98:1. 2015,...

Section 420-J:5-b - Standard External Review. - Source. 2000, 18:13, eff. Sept. 3, 2000.

Section 420-J:5-c - Expedited External Review. - Source. 2000, 18:13. 2012, 98:2, eff. July 28, 2012.

Section 420-J:5-d - Certification of Independent Review Organizations. - Source. 2000, 18:13. 2012, 98:3, eff. July 28, 2012.

Section 420-J:5-e - General Provisions Regarding External Review. - Source. 2000, 18:13, eff. Sept. 3, 2000.

Section 420-J:6 - Utilization Review. - Source. 1997, 345:1. 2000, 18:5, 15. 2001, 207:13. 2003, 276:11,...

Section 420-J:6-a - Obstetrical-Gynecological Coverage. - Source. 1998, 319:1, eff. Jan. 1, 1999.

Section 420-J:6-b - Self-Referrals for Chiropractic Care. - Source. 2000, 14:1, eff. April 18, 2000.

Section 420-J:6-c - Third-Party Payment of Covered, Court-Ordered Services. - Source. 2004, 117:4, eff. Aug. 15, 2004.

Section 420-J:6-d - Coverage for Dependents. - Source. 2007, 289:29, eff. Jan. 1, 2008.

Section 420-J:6-e - Coverage for Medically Necessary Dental Services. - Source. 2019, 113:3, eff. Aug. 20, 2019.

Section 420-J:7 - Network Adequacy. - Source. 1997, 345:1. 2008, 311:1, eff. Aug. 31, 2008. 2017,...

Section 420-J:7-b - Prescription Drugs. - Source. 1999, 286:1. 2003, 286:5. 2004, 187:15-17. 2007, 73:2. 2013,...

Section 420-J:7-c - Disqualification of Certain Physicians Prohibited. - Source. 2000, 248:1, eff. Aug. 8, 2000.

Section 420-J:7-d - Continued Access to Care Subsequent to a Provider Contract Termination. - Source. 2003, 284:3, eff. July 1, 2003.

Section 420-J:7-e - Notice of Consumer Rights. - Source. 2017, 214:2, eff. Jan. 1, 2018.

Section 420-J:8 - Provider Contract Standards. - [Paragraph XVII repealed by 2021, 189:6 effective January 1, 2025.]...

Section 420-J:8-a - Prompt Payment Required. - Source. 2000, 274:5; 314:5. 2005, 162:4. 2009, 235:17, eff. Sept....

Section 420-J:8-b - Retroactive Denials Prohibited; Exceptions. - Source. 2002, 143:4. 2006, 104:4, eff. Aug. 7, 2006. 2018,...

Section 420-J:8-c - Reimbursement for Providers Waiting for Health Carrier Credentialing Verification. - Source. 2007, 98:2, eff. Aug. 10, 2007. 2019, 228:5, eff....

Section 420-J:8-d - Dependent Coverage. - Source. 2007, 352:6. 2009, 235:18. 2010, 243:13, eff. Sept. 23,...

Section 420-J:8-e - Reasonable Value of Health Care Services. - Source. 2018, 356:2, eff. July 1, 2018. 2020, 27:35, eff....

Section 420-J:8-f - Non-Covered Dental Services. - Source. 2020, 39:14, eff. Jan. 1, 2021.

Section 420-J:9 - Quality Assessment, Quality Improvement, and Reporting. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:10 - Confidentiality of Insurer Records. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:11 - Confidentiality of Insurance Department Records. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:12 - Rulemaking Authority. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:13 - Severability. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:14 - Penalties. - Source. 1997, 345:1, eff. Jan. 1, 1998.

Section 420-J:15 - Definitions. - Source. 2016, 2:11, eff. Jan. 1, 2017; 275:1, eff. Jan....

Section 420-J:16 - Levels of Care Criteria; Attestation. - Source. 2016, 2:11, eff. Jan. 1, 2017.

Section 420-J:17 - Prior Authorization. - Source. 2016, 2:11, eff. Jan. 1, 2017; 275:2, eff. Jan....

Section 420-J:18 - Authorization for Medication-Assisted Treatment. - Source. 2017, 185:1, eff. Aug. 28, 2017. 2020, 39:52, eff....

Section 420-J:19 - Medication Synchronization. - Source. 2018, 103:2, eff. Jan. 1, 2019.