MS HB1329

Establishes the Managed Care Plan and Participating Provider Contracting Act to regulate contracts between managed care plans and health care providers in Mississippi.

Requires managed care plans to negotiate in good faith, provide providers with 60 days to review contracts, and supply all referenced materials including drug formularies and service definitions.

Sets minimum contract standards requiring plain English language, clear disclosure of plan responsibilities, prohibition on exclusive contracts, and one-year maximum duration with automatic renewal only upon 60-day notice.

Requires managed care plans to complete credentialing within 45 days, provide eligibility verification through toll-free hotline or secure website, and establish transparent reimbursement disclosure including comparison to Medicare rates.

Authorizes the Mississippi Insurance Department to assess administrative penalties up to $5,000 per violation and promulgate rules to enforce the act; effective July 1, 2011.