as introduced - 80th Legislature (1997 - 1998) Posted on 12/15/2009 12:00am
Engrossments | ||
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Introduction | Posted on 02/24/1997 |
1.1 A bill for an act 1.2 relating to health; requiring health plan company 1.3 acceptance of qualified willing providers; eliminating 1.4 the expanded network and point-of-service options; 1.5 amending Minnesota Statutes 1996, section 62Q.095, 1.6 subdivision 1; repealing Minnesota Statutes 1996, 1.7 sections 62Q.095, subdivisions 3 and 4; and 62Q.51. 1.8 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.9 Section 1. Minnesota Statutes 1996, section 62Q.095, 1.10 subdivision 1, is amended to read: 1.11 Subdivision 1. [PROVIDER ACCEPTANCE REQUIRED.] Each health 1.12 plan company, with the exception of any health plan company with1.1350,000 or fewer enrollees and health plan companies that are1.14exempt under subdivision 6, shall establish an expanded network1.15of allied independent health providers, in addition to a1.16preferred network. A health plan companyshall accept as a 1.17 provider inthe expandedits provider network anyallied1.18independenthealth care provider who: (1) meets the health plan 1.19 company's credentialing standards; (2) agrees to the terms of 1.20 the health plan company's provider contract; and (3) agrees to 1.21 comply with all managed care protocols of the health plan 1.22 company.A preferred network shall be considered an expanded1.23network if all allied independent health providers who meet the1.24requirements of clauses (1), (2), and (3) are accepted into the1.25preferred network. A community integrated service network may1.26offer to its enrollees an expanded network of allied independent2.1health providers as described under this section.2.2 Sec. 2. [REPEALER.] 2.3 Minnesota Statutes 1996, sections 62Q.095, subdivisions 3 2.4 and 4; and 62Q.51, are repealed. 2.5 Sec. 3. [EFFECTIVE DATE.] 2.6 Sections 1 and 2 are effective January 1, 1998.