Legislative Session number- 82

Bill Name: HF2925

hf2925 FIRST ENGROSSMENT Health care service prior authorization agreements
modified and provider contracting requirements established. Section 1: Prior
authorization of service agreements modified. Sec. 2: "Minnesota Fair Health
Plan Contracting Act" citation provided. Sec. 3: Related terms defined. Sec. 4:
Provider contracting procedure disclosure required and amendments proposed. Sec.
5: Payment rate acceptance not required. Sec. 6: Service code changes provided.
Sec. 7: Recoupment procedures provided. Sec. 8: Unilateral terms prohibited.
Sec. 9: Network shadow contracting related terms definition modified, provider
consent regulations modified, consent procedure clarified, contract termination
restrictions clarified, and conforming changes made. Sec. 10: Claim submission
required. Sec. 11: Claims payment procedures expanded. Sec. 12: Profiling
methodology relating to provider data release required. Sec. 13: Cost and
quality disclosure required. Sec. 14: Repealer.AE