Providers terminated from managed care panels
(January 1999)

Have you been "deactivated to "inactive status" or terminated from a managed care panel? "Inactive status" is basically termination. You may have learned this when you or your new patient requested initial authorization of treatment or when you pursued additional authorization of continued care.

Refer to the NYS Managed Care Reform Act of 1996 when you challenge termination. The law states that a health care plan must provide prior written notice of termination and the reason for termination to the health care provider. Once the provider receives written notice s/he has at least 30 days to request a hearing before a panel appointed by the health care plan; and, such a hearing must be held within 30 days of the health plan receiving such a request. Refer to your provider agreements with individual companies to determine the required number of days prior to termination that you must receive written notice.

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