Regulatory Amendment to Aetna Provider Agreements
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Adds regulatory provisions required by law (Connecticut Department of Insurance) into Aetna provider agreements and governs amendment of existing provider agreements between Aetna Health Inc. (and affiliates) and contracted providers, effective January 1, 2017.
No material clinical or coverage changes in this revision.
Contract Amendment Effect and Scope
Contract amendment and precedence
Contractual effect and scope of the amendment:
Codes and Effective Date
| No codes listed |
Required Incorporation of Regulatory Provisions
Incorporate Connecticut Department of Insurance provisions into provider Agreements
Amend the existing provider Agreement to incorporate provisions promulgated by the Connecticut Department of Insurance; the Amendment supersedes any conflicting language in existing provider agreements and supplies language where agreements are silent. This Amendment applies to provider agreements between Aetna Health Inc. (on behalf of itself and its Affiliates) and contracted IPAs, PHOs, facilities, hospitals, providers, physician groups, and provider groups, and is effective January 1, 2017.
- The Agreement shall be amended to incorporate provisions promulgated by the Connecticut Department of Insurance.
- The provisions of this Regulatory Amendment supersede any language addressing the same issues in existing provider agreements, or supply language where the agreements are silent.
- Applies to Aetna Health Inc. (and its Affiliates) and contracted IPAs, PHOs, facilities, hospitals, providers, physician groups, and provider groups.
- Effective as of January 1, 2017.
Defined Terms and Scope
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