States that a carrier shall deem itself insecure in a contractual arrangement if the contractor, subcontractor, or intermediary is not meeting financial obligations to participating providers, experiencing deficits that exceed reserves, or in 3 consecutive months experiences net operating losses. Requires carriers that deem themselves insecure to take action to direct administration of contracts with contractors, subcontractors, and intermediaries. Specifies that direct administration of a contract by a carrier under this law does not otherwise subject the carrier to liability for debts of the contractor, subcontractor, or intermediary.
Capital letters indicate new material to be added to existing statute.
Dashes through the words indicate material to be deleted from existing statute. Requirements for carriers and participating 3 providers. A carrier may apply to the commissioner for the use of an 11 alternative mechanism to ensure that all participating providers that have 12 provided covered health care services to covered persons of the carrier 13 pursuant to one or more contracts with such contractors or subcontractors 14 or their intermediaries receive payment due.