Rhode Island General Laws 27-20-27.3. Managed care
Nothing in this chapter shall preclude the conducting of managed care reviews and medical necessity reviews by an insurer, hospital or medical service corporation, or health maintenance organization. A nonprofit medical service corporation may, as a condition of coverage, require its members to obtain new cancer therapies still under investigation as outlined in this chapter from providers and facilities designated by the nonprofit medical service corporation to render these new cancer therapies.
History of Section.
P.L. 1994, ch. 301, § 3; P.L. 1998, ch. 441, § 21.
Terms Used In Rhode Island General Laws 27-20-27.3
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Nonprofit medical service corporation: means any corporation organized pursuant hereto for the purpose of establishing, maintaining, and operating a nonprofit medical service plan;
(20) "Nonprofit medical service plan" means a plan by which specified medical service is provided to subscribers to the plan by a nonprofit medical service corporation;
(21) "Office of the health insurance commissioner" means the agency established under §?42-14. See Rhode Island General Laws 27-20-1