# Mass. Gen. Laws ch. 176O, sec. 5C: Failure of carrier to comply with coding standards and guidelines; notice; penalty

> Massachusetts · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5C

## Section

- **Citation:** Mass. Gen. Laws ch. 176O, sec. 5C
- **Heading:** Failure of carrier to comply with coding standards and guidelines; notice; penalty
- **Jurisdiction:** Massachusetts
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** MA Code / Part I / Title XXII / Chapter 176O / Section 5C

## Text

Section 5C. If the commissioner determines that a carrier is neglecting to comply with the coding standards and guidelines under this chapter in the form and within the time required the commissioner shall notify the carrier of such neglect. If the carrier does not come into compliance within a period determined by the commissioner, the carrier shall be fined up to $5000 for each day during which such neglect continues.

Section 5C. If the commissioner determines that a carrier is neglecting to comply with the coding standards and guidelines under this chapter in the form and within the time required the commissioner shall notify the carrier of such neglect. If the carrier does not come into compliance within a period determined by the commissioner, the carrier shall be fined up to $5000 for each day during which such neglect continues.

## Nearby sections

- [Mass. Gen. Laws ch. 176O, sec. 1 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S1.md)
- [Mass. Gen. Laws ch. 176O, sec. 2 Bureau of managed care](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S2.md)
- [Mass. Gen. Laws ch. 176O, sec. 3 Complaints against carriers; notice; hearing](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S3.md)
- [Mass. Gen. Laws ch. 176O, sec. 4 Refusal of carriers to contract with eligible health, dental or vision care providers solely because providers have practiced good faith advocacy on behalf of patients](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S4.md)
- [Mass. Gen. Laws ch. 176O, sec. 5 Contracts; liability](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5.md)
- [Mass. Gen. Laws ch. 176O, sec. 5A Acceptance and recognition of information submitted pursuant to current coding standards and guidelines required; use of standardized claim formats](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5A.md)
- [Mass. Gen. Laws ch. 176O, sec. 5B Policies and procedures to enforce Sec. 5A](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5B.md)
- [Mass. Gen. Laws ch. 176O, sec. 5C Failure of carrier to comply with coding standards and guidelines; notice; penalty](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5C.md)
- [Mass. Gen. Laws ch. 176O, sec. 5D Establishment of base fee schedule for evaluation and management services for behavioral health providers](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5D.md)
- [Mass. Gen. Laws ch. 176O, sec. 6 Evidence of coverage to be delivered to covered adults by health, dental and vision care providers; contents](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S6.md)
- [Mass. Gen. Laws ch. 176O, sec. 7 Information provided by carrier upon enrollment or upon request](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S7.md)
- [Mass. Gen. Laws ch. 176O, sec. 8 Failure by carrier to file annual statement; fine](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S8.md)
- [Mass. Gen. Laws ch. 176O, sec. 9 Utilization review programs; annual attestations](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S9.md)
- [Mass. Gen. Laws ch. 176O, sec. 9A Agreements or contracts between carrier and health care provider prohibited if containing certain provisions](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S9A.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXXII_C176O_S5C. Check the current official text before relying on it. Not legal advice.