MN HF1936

Health plan companies may only terminate a provider's contract for cause if the contract includes an appeal process allowing the provider to challenge the termination.

Termination notices must include the reasons for termination, the effective date, and a description of the appeal process available to the provider.

Appeal process must include internal review and external review by an independent entity agreed to by the provider, with the external review decision being final and requiring contract reinstatement if termination is unsupported.

Health plan companies must submit their appeal process for approval to the Commissioner of Commerce or Health; failure to submit or obtain approval allows the commissioner to take regulatory action.

Health plan companies are prohibited from terminating a provider's contract without cause, and Minnesota Statutes 2020, section 62Q.56, subdivision 1a (continuity of care for terminations not for cause) is repealed.