MO HB284

Health carriers must provide contracted providers access to standard fee schedules for their geographic area through a secure website, showing current payment rates for all goods and services by procedure codes or diagnosis related groups

Fee schedule rates cannot be lower than the lowest individually contracted rate for any specific service among providers in that geographic area

Health carriers cannot refuse to contract with any Missouri provider located within their coverage area who is willing to accept standard rates and meet participation terms, including for MO HealthNet and Medicare programs

Providers making patient referrals must fully inform patients of all in-network medical facilities where the provider has privileges and allow patients to choose the facility

Health carriers cannot discriminate between medically appropriate in-network facilities regarding benefit coverage or reimbursement, with licensure sanctions for non-compliance