958 CMR 3.500
Disenrollment of Primary Care Provider
Where a carrier allows or requires the designation of a primary care provider, the carrier shall
in the event of disenrollment of a primary care provider for reasons other than those related to
quality or fraud:
(1) provide to any insured written notice of the disenrollment of the insured's primary care
provider at least 30 days prior to any such disenrollment;
(2) include in said notice a description of the procedure for choosing an alternate primary care
provider; and
(3) permit the insured to be covered for health services, consistent with the terms of the carrier's
evidence of coverage, provided by such primary care provider for at least 30 days after the
provider is disenrolled.