Introduced House Bill (H)

Authored by

DIGEST

Provider contracting. Specifies requirements for state employee plans, accident and sickness insurers, and health maintenance organizations related to use of contracted health care providers, referrals to and use of noncontracted health care providers, payment amounts, information provided to covered individuals, and independent review of determinations related to claims for services provided by contracted or noncontracted providers. Makes conforming amendments. Provider contracting. Specifies requirements for state employee plans, accident and sickness insurers, and health maintenance organizations related to use of contracted health care providers, referrals to and use of noncontracted health care providers, payment amounts, information provided to covered individuals, and independent review of determinations related to claims for services provided by contracted or noncontracted providers. Makes conforming amendments.