House Bill 1411

AN ACT TO CREATE THE MANAGED CARE PLAN AND PARTICIPATING PROVIDER CONTRACTING ACT; TO PROVIDE DEFINITIONS FOR THE ACT; TO REQUIRE GOOD FAITH NEGOTIATIONS BETWEEN MANAGED CARE PLANS AND PARTICIPATING PROVIDERS; TO PROVIDE MINIMUM STANDARDS FOR MANAGED CARE PLAN CONTRACTS WITH PROVIDERS; TO PRESCRIBE REQUIREMENTS FOR MANAGED CARE PLAN'S DETERMINATION OF ENROLLEE ELIGIBILITY AND COVERED SERVICES; TO PROVIDE REQUIREMENTS FOR HEALTH CARE PROVIDER CREDENTIALING; TO PROVIDE REQUIREMENTS FOR HEALTH CARE PROVIDER CLAIM SUBMISSIONS; TO PROVIDE CERTAIN ADMINISTRATIVE POLICIES AND PROCEDURES; TO PROVIDE REQUIREMENTS FOR DISPUTE RESOLUTION; TO PROHIBIT A MANAGED CARE PLAN FROM COMPELLING A HEALTH CARE PROVIDER TO PARTICIPATE IN ALL OF THE MANAGED CARE PLAN'S BUSINESS LINES; TO REQUIRE COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996; TO AUTHORIZE THE MISSISSIPPI INSURANCE DEPARTMENT TO ASSESS AN ADMINISTRATIVE PENALTY FOR A VIOLATION OF THIS ACT; TO AUTHORIZE THE MISSISSIPPI DEPARTMENT OF INSURANCE TO PROMULGATE RULES AND REGULATIONS TO ADMINISTER AND ENFORCE THIS ACT; AND FOR RELATED PURPOSES.

In the House of Representatives

• Scott DeLano

  Sponsor

l9n doesn't hold this bill's text yet.

In the House of Representatives Feb 20 – Mar 6

1. Feb 20Referred to the House committees on Public Health and Human Services and on Insurance
2. Mar 6Died in committee in the House