Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 52.00 - Managed Care Consumer Protections And Accreditation Of Carriers
Section 52.08 - Quality Management and Improvement
Universal Citation: 211 MA Code of Regs 211.52
Current through Register 1531, September 27, 2024
(1) Standards. A Carrier's application will be reviewed for compliance with the applicable NCQA Standards for quality management and improvement.
(2) Workers' Compensation Preferred Provider Arrangements. A Carrier that provides specified services through a workers' compensation preferred Provider arrangement shall be deemed to have met the requirements of 211 CMR 52.08 if it has met the requirements of 452 CMR 6.00:Utilization Review and Quality Assessment.
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