Sec. 38a-478h. Removal of providers. Notice requirements. Retaliatory action prohibited.
Sec. 38a-478h. Removal of providers. Notice requirements. Retaliatory action
prohibited. (a) Each contract delivered, issued for delivery, renewed, amended or continued in this state on and after October 1, 1997, between a managed care organization
and a participating provider shall require the provider to give at least sixty days' advance
written notice to the managed care organization and shall require the managed care
organization to give at least sixty days' advance written notice to the provider in order
to withdraw from or terminate the agreement.
(b) The provisions of this section shall not apply: (1) When lack of such notice is
necessary for the health or safety of the enrollees; (2) when a provider has entered into
a contract with a managed care organization that is found to be based on fraud or material
misrepresentation; or (3) when a provider engages in any fraudulent activity related to
the terms of his contract with the managed care organization.
(c) No managed care organization shall take or threaten to take any action against
any provider in retaliation for such provider's assistance to an enrollee under the provisions of subsection (e) of section 38a-226c or section 38a-478n.
(P.A. 97-99, S. 9.)