Conn. Gen. Stat. § 38a-478f

Current with legislation from the 2024 Regular and Special Sessions.
Section 38a-478f - Provider profile development requirements

Each managed care organization, in developing provider profiles or otherwise measuring health care provider performance, shall:

(1) Make allowances for the severity of illness or condition of the patient mix;
(2) make allowances for patients with multiple illnesses or conditions;
(3) make available to the commissioner documentation of how the managed care organization makes such allowances; and
(4) inform enrollees and participating providers, upon request, how the managed care organization considers patient mix when profiling or evaluating providers.

Conn. Gen. Stat. § 38a-478f

( P.A. 97-99, S. 7.)