Health carriers required to offer reference-based pricing health plans, open-ended promise-to-pay contracts prohibited, provider number framework established, and rulemaking authorized.
Facility fees for nonemergency services provided at provider-based clinics prohibited, facility fees for certain health care services prohibited, and report required.
Patient-Centered Care program established, direct state payments to health care providers authorized, contracting with administrative services organizations authorized, conforming changes made, and money appropriated.
Health care providers certain health care provider reimbursement arrangements disclosure to enrollees and health care providers requirement provision, Ombudsperson for public managed health care programs duties modifications, and health carrier liability when a health care provider is limited in providing services by the health carrier
Commissioner of health required to establish a provider orders for life-sustaining treatment program, rulemaking authorized, data classified, immunity established for certain acts, and money appropriated.
Health plans required to credit enrollees for services provided by an out-of-network provider at a lower cost than the plan's in-network providers, and commissioner of commerce enforcement authorized.
Provider-based clinics obtaining and usage of a unique National Provider Identifier(NPI) for reimbursement claims requirement, and all-payer claims data submitted inclusion of a provider-based clinic's unique NPI requirement provision
Payment rates established for certain substance use disorder treatment services, and vendor eligibility recodified for payments from the behavioral health fund.