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HF 2925 House Long Description

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