MS HB89

Requires contracting agents to disclose to healthcare providers when their contracted rates may be sold, leased, or transferred to other payors, including workers' compensation and automobile insurers

Mandates that payors actively encourage beneficiaries to use contracted provider networks through financial incentives (reduced copays, deductibles, premium discounts) or marketing efforts like directories and toll-free numbers

Allows providers to decline inclusion on provider lists sold to payors that do not actively encourage beneficiaries to use the network

Requires payors to identify the network name on explanation of benefits documents and demonstrate entitlement to pay contracted rates within 30 business days of a provider's written request

Payors failing to demonstrate entitlement to discounted rates must pay full contracted amounts within 10 business days and cannot take future discounts without written provider consent until compliance is shown

Effective date: July 1, 2016