Compliance with Statute Regarding Compensation for Chiropractic Practitioners from Insurance (24 Del. C. §716)

Trinidad Navarro Commissioner Delaware Department of Insurance ## DOMESTIC/FOREIGN INSURERS BULLETIN NO. 62 (Revised) TO: ALL HEALTH INSURANCE CARRIERS, HEALTH SERVICE CORPORATIONS, AND HMOs DOING BUSINESS IN DELAWARE RE: COMPLIANCE WITH STATUTE REGARDING COMPENSATION FOR CHIROPRACTIC PRACTITIONERS FROM INSURANCE (24 Del. C. § 716) DATED: February 18, 2013 REVISED: August 2, 2018 With the original version of this Bulletin, the Department notified all health insurance carriers, health service corporations, and HMOs doing business in Delaware that: Section 716 of Chapter 24 of the Delaware Code prohibits discrimination against chiropractors with respect to cost containment and managed care provisions. Specifically, no health insurance carrier, health service corporation or HMO doing business in Delaware may discriminate against chiropractors with respect to the setting of deductibles, coinsurance, allowable charge limitations, coordination of benefits and utilization review. With this revised Bulletin, the Department is notifying health insurance carriers, health service corporations, and HMOs doing business in Delaware that on August 1, 2018, the Department published Regulation 1318, entitled Compensation for Chiropractic Services, in the Register of Regulations (See 22 DE Reg. 164 (08/01/2018)). This regulation implements 24 Del.C. § 716 by prohibiting unreasonable and discriminatory access to chiropractic care or services and by prohibiting unreasonable and discriminatory compensation for that care or service. The regulation, 18 DE Admin. Code 1318, becomes effective on January 1, 2019. This bulletin shall be effective immediately. Trinidad Navarro Trinidad Navarro Delaware Insurance Commissioner NOTE: This Bulletin is intended solely for informational purposes. It is not intended to set forth legal rights, duties, or privileges, nor is it intended to provide legal advice. Readers should consult applicable statutes and rules and contact the Delaware Department of Insurance if additional information is needed. 841 Silver Lake Blvd., Dover, DE 19904-2465 ♦ www.insurance.delaware.gov (302) 674-7300 Dover ♦ (302) 739-5280 fax ♦ (302) 577-5280 Wilmington