as introduced - 91st Legislature (2019 - 2020) Posted on 08/28/2019 02:44pm
A bill for an act
relating to health insurance; requiring notification prior to provider network
changes; amending Minnesota Statutes 2018, section 62K.075.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2018, section 62K.075, is amended to read:
new text begin new text end
deleted text begin (a)deleted text endnew text beginnew text end A health carrier must update the carrier's website at least once a month with any
changes to the carrier's provider network, including provider changes from in-network status
to out-of-network statusnew text beginnew text end.
deleted text begin (b)deleted text endnew text beginnew text end Upon notification from an enrollee, a health carrier must reprocess any claim for
services provided by a provider whose status has changed from in-network to out-of-network
as an in-network claim if the service was provided after the network change went into effect
but before the change was posted as required under paragraph (a) unless the health carrier
notified the enrollee of the network change prior to the service being provided. This paragraph
does not apply if the health carrier is able to verify that the health carrier's website displayed
the correct provider network status on the health carrier's website at the time the service
deleted text begin (c)deleted text endnew text beginnew text end The limitations of section 62Q.56, subdivision 2a, shall apply to payments required
by paragraph deleted text begin(b)deleted text endnew text beginnew text end.