Sec. 38a-478l. Consumer report card required. Content.
Sec. 38a-478l. Consumer report card required. Content. (a) Not later than
March 15, 1999, and annually thereafter, the Insurance Commissioner, after consultation
with the Commissioner of Public Health, shall develop and distribute a consumer report
card on all managed care organizations. The commissioner shall develop the consumer
report card in a manner permitting consumer comparison across organizations.
(b) The consumer report card shall include (1) all health care centers licensed pursuant to chapter 698a, (2) the fifteen largest licensed health insurers that use provider
networks and that are not included in subdivision (1) of this subsection, and (3) information concerning mental health services, as specified in subsection (c) of this section.
The insurers selected pursuant to subdivision (2) of this subsection shall be selected on
the basis of Connecticut direct written health premiums from such network plans.
(c) With respect to mental health services, the consumer report card shall include
information or measures with respect to the percentage of enrollees receiving mental
health services, utilization of mental health and chemical dependence services, inpatient
and outpatient admissions, discharge rates and average lengths of stay. Such data shall
be collected in a manner consistent with the National Committee for Quality Assurance
Health Plan Employer Data and Information Set (HEDIS) measures.
(d) The commissioner shall test market a draft of the consumer report card prior to
its publication and distribution. As a result of such test marketing, the commissioner
may make any necessary modification to its form or substance.
(P.A. 97-99, S. 13; P.A. 06-188, S. 34; P.A. 07-217, S. 156.)
History: P.A. 06-188 added Subsec. (b)(3) re information concerning mental health services specified in new Subsec.
(c), added new Subsec. (c) to require inclusion of specific mental health related information in consumer report card and
redesignated existing Subsec. (c) as Subsec. (d); P.A. 07-217 made a technical change in Subsec. (c), effective July 12, 2007.