What is managed care?

Common terms in managed care

Benefit Outline:

• External Appeals Process
• A Comparison of Managed Care Organizations in Connecticut (PDF 3,698 kb)
• Expedited Review Process
• Plan disclosure requirements to enrollees
• New filing requirements with the Insurance Department
• Emergency room "prudent layperson" standard
• Prohibition of "Gag" clauses in provider contracts

Frequently asked Questions

Utilization Review:

• License Application (PDF form)

Preferred Provider Networks: 

• C.G.S 38a-479aa An Act Concerning Preferred Provider Networks
• C.G.S 38a-479aa An Act Concerning Preferred Provider Networks - PPN License Application and Instructions

Lists:

• Health Maintenance Organizations
• Managed Care Organizations

• 2008 Managed Care Report Card Survey - Cover Letter (PDF)
• 2008 Managed Care Report Card Survey - Part 1 (RTF form & PDF form)
• 2008 Managed Care Report Card Survey - Part 2 (RTF form & PDF form)
• 2008 Report Card Addendum (all networks) (RTF form & PDF form)

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