Current through Register 1536, December 6, 2024
Section 404.416 - Prohibited Marketing ActivitiesAn ADH provider shall not:
(A) with the knowledge that a member is enrolled in a Capitated Program, engage in any practice that would reasonably be expected to have the effect of steering or encouraging the member to disenroll from the Capitated Program in order to retain the ADH provider to provide ADH services on a fee-for-service basis; or(B) offer to a member, or his or her family or caregivers, in-person or through marketing any inducement to retain the ADH provider to provide ADH services, such as a financial incentive, reward, gift, meal, discount, rebate, giveaway, or special opportunity;(C) pay a "finder's fee" to any third-party in exchange for referring a member to the ADH provider; or(D) engage in any Unfair or Deceptive Acts or Practices in connection with any Marketing.Adopted by Mass Register Issue 1370, eff. 7/27/2018.Amended by Mass Register Issue 1372, eff. 7/27/2018.