D.C. Mun. Regs. tit. 26, r. 26-A4700

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 26-A4700 - PURPOSE

4700.1

The purpose and intent of these rules are to:

(a) Establish standards for the creation and maintenance of networks by health carriers; and

(b) Ensure the adequacy, accessibility, transparency, and quality of health care services offered under a network plan by:

(1) Establishing requirements for written agreements between health carriers offering network plans and participating providers regarding the standards, terms, and provisions under which the participating provider will provide covered services to covered persons; and

(2) Requiring health carriers to maintain and follow Access Plans that consist of policies and procedures for ensuring the ongoing sufficiency of provider networks, including any requirements related to their availability to the public.

D.C. Mun. Regs. tit. 26, r. 26-A4700

Final Rulemaking published at 70 DCR 2231 (2/17/2023)