Network Adequacy and Out-of-Network Guidance
NOTE: The documents available through this page are in PDF format unless noted otherwise.
Guidance, filing instructions, and materials for implementation of the out-of-network law, Part H of Chapter 60 of the Laws of 2014.
- Network Adequacy Questions and Answers (page)
- Network Adequacy Guidance and Submission Instructions (page)
- New Plan Request Form (Word format)
- Network Adequacy Attestation For Pharmacy Only Network
- Network Adequacy Attestation For Use Of Approved Network
- Network Adequacy Attestation For Changes to Approved Network
Out-of-Network Law Forms
The following forms are in Word format.