TITLE 27
Insurance

CHAPTER 27-18.8
Health Care Accessibility and Quality Assurance Act [Effective January 1, 2018.]

SECTION 27-18.8-4


§ 27-18.8-4. Contracts with providers for dental services. [Effective January 1, 2018.].

No contract between a dental plan of a health care entity and a dentist for the provision of services to beneficiaries may require that a dentist provide services to its patients at a fee set by the health care entity unless said services are covered services under the applicable subscriber agreement. "Covered services," as used herein, means services reimbursable under the applicable beneficiary agreement, subject to such contractual limitations on beneficiary benefits as may apply, including, for example, deductibles, waiting period, or frequency limitations.

History of Section.
(P.L. 2017, ch. 302, art. 5, § 4.)