New York Codes, Rules and Regulations

Section 98-5.6 Access to providers for enrollees

Section 98-5.6 Access to providers for enrollees.

Section 98-5.4 Network provider type standards

Section 98-5.4 Network provider type standards.

(a) Pursuant to Public Health Law section 4403(5)(b), a MCO shall ensure that its provider network is adequate to meet the behavioral health needs of enrollees and provide an appropriate choice of providers sufficient to render the behavioral health services covered under its health insurance contracts.

Section 98-5.3 Definitions

Section 98-5.3 Definitions.

As used in this Part:

Section 98-5.2 Applicability

Section 98-5.2 Applicability.

(a) This Subpart shall apply to all MCOs offering coverage that are subject to the mental health and substance use disorder requirements under Insurance Law § 4303 and Public Health Law § 4406.