MO HB1816

Health carriers must provide contracted providers secure website access to standard fee schedules specific to their geographic area, reflecting current payment rates for all goods and services by procedure codes or other payment mechanisms.

Standard fee schedules cannot include rates lower than the lowest individually contracted rate for the same good or service in the applicable geographic area.

Health carriers cannot refuse to contract with any Missouri provider willing to meet established terms and conditions, including those willing to accept 99% of standard rates.

Health care providers must fully inform patients of all medically appropriate medical facilities within their health carrier's provider network where the provider has privileges to practice.

Health carriers and health benefit plans cannot restrict patient referrals to or selection of any medically appropriate facility within their provider network and cannot discriminate in benefit coverage or reimbursement between medically appropriate facilities for the same service.