CT SB00381

Adds dentists to the definition of "provider" under managed care and preferred provider network contracts, effective January 1, 2019.

Requires contracting health organizations to provide providers electronic access to fee schedules using Current Procedural Terminology (CPT), Current Dental Terminology (CDT), and Health Care Procedure Coding System (HCPCS) codes applicable to their specialty.

Requires contracting health organizations to provide electronic access to policies and procedures regarding provider payments, contract duties, and appeals processes with contact information for relevant offices.

Restricts material changes to provider fee schedules to once annually with at least 90 days' notice (except dental plans must include maximum allowable charges), or at any time with 30 days' notice for regulatory compliance, coding updates, clinical practice changes, or mutual agreement.

Designates fee information received by providers as proprietary and confidential, allowing contracting health organizations to impose penalties for unauthorized distribution including contract termination.