MS HB1411

Creates the Managed Care Plan and Participating Provider Contracting Act requiring managed care plans to negotiate contracts in good faith with health care providers and provide at least 60 days for providers to review contracts before execution

Establishes minimum contract standards including plain English language, clear disclosure of responsibilities, prohibition on exclusive contracts, one-year maximum duration with automatic renewal provisions, and required appeal processes for contract terminations

Requires managed care plans to complete provider credentialing within 45 days, provide retroactive reimbursement for claims during successful credentialing, and limits recredentialing frequency to National Committee for Quality Assurance standards

Prohibits managed care plans from withholding future payments to recoup alleged overpayments, requires disclosure of intent to challenge erroneous payments within 180 days, and allows providers to repay amounts over $10,000 in installments over up to 3 years

Authorizes the Mississippi Department of Insurance to assess administrative penalties up to $5,000 per violation and promulgate rules to enforce the act, effective July 1, 2012