Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 155.00 - Risk-bearing Provider Organizations
Section 155.07 - Examinations of Risk-bearing Provider Organizations
Universal Citation: 211 MA Code of Regs 211.155
Current through Register 1531, September 27, 2024
(1) The Commissioner may examine the affairs of a Risk-bearing Provider Organization regarding its arrangement to manage the treatment of a group of patients and bear Downside Risk according to the terms of an Alternative Payment Contract when the Commissioner deems prudent, but not less frequently than once every three years for those with Risk Certificates.
(2) The charge for each examination shall be borne by the Risk-bearing Provider Organization as set forth in M.G.L. c. 175, § 4.
(3) The examination shall be conducted in accordance with the procedures set forth in M.G.L. c. 175, § 4 and c. 176T, § 4.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
