New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter II - Administrative Rules and Regulations
Subchapter R - Health Maintenance Organizations
Part 98 - Health Maintenance Organizations
Subpart 98-2 - External Appeals Of Adverse Determinations
- Section 98-2.1 - Preamble
- Section 98-2.2 - Definitions
- Section 98-2.3 - Standard description of the external appeal process
- Section 98-2.4 - Certification of external appeal agents
- Section 98-2.5 - Certification requirements
- Section 98-2.6 - Conflict of interest
- Section 98-2.7 - Screening of requests for external appeal
- Section 98-2.8 - Random assignment of external appeals
- Section 98-2.9 - Responsibilities of health care plans
- Section 98-2.10 - Responsibilities of certified external appeal agents
- Section 98-2.11 - Enrollee rights and responsibilities
- Section 98-2.12 - Confidentiality
- Section 98-2.13 - Audits and examinations
Current through Register Vol. 47, No. 12, March 26, 2025
Statutory authority: Public Health Law, §§ 4910-4916; L. 1998, ch. 586, § 45
Disclaimer: These regulations may not be the most recent version. New York 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.
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