ND HB1047

Requires health insurers to provide information to the North Dakota Department of Health and Human Services upon request to identify individuals covered by health benefit plans who are also medical assistance recipients, no more frequently than 12 times per year.

Insurers must provide information at no cost if it is in a readily available structure or format; insurers may charge a reasonable fee not exceeding actual cost if the department requests information in a non-readily available format.

Insurers must respond to information requests within 90 days of written proof of loss or claim, respond to department inquiries within 60 days regarding claims submitted within 3 years of service provision, and cooperate with the department's right of recovery and payment assignment.

Insurers must accept Medicaid's authorization as prior authorization, not deny claims solely based on submission date or format, and not deny claims for failure to obtain prior authorization when submitted by the department.

Prohibits health insurers from considering an individual's eligibility for or receipt of medical assistance when enrolling individuals, and protects insurers from liability for releasing insurance information authorized under this section.