MN SF3943

Prohibits health carriers from denying in-network provider contracts to any health care provider whose primary practice is located in the same geographic rating area where the carrier actively markets plans, effective with Minnesota Statutes chapter 62K.

Extends contract amendment notice requirements from 45 to 90 days for changes affecting fee schedules or material contractual policies, and allows providers the right to terminate before amendments take effect.

Requires health plan companies to pay or deny clean claims within 30 calendar days and imposes 1.5 percent monthly interest on late payments, with health plan companies liable for all collection costs if interest is not paid.

Extends the claims filing deadline from 6 to 12 months (extendable to 18 months for significant operational disruptions) and prohibits health plan companies from auditing or recouping claims based on fee schedules not in effect on the original service date.

Requires managed care plans and county-based purchasing plans to reimburse contracted providers at least as much as fee-for-service rates effective January 1, 2021, and to follow the same claims submission and payment requirements as the commissioner's fee-for-service system.