Minnesota SF3296 modifies health provider network adequacy provisions, including changes to referral center standards and waiver processes.

Minnesota SF3296 amends health provider network adequacy provisions by adjusting the criteria for designating referral centers and modifying the waiver process for network inadequacy. The bill allows health carriers to consider the volume of services, case mix, and severity-adjusted mortality and morbidity rates when designating referral centers. It also revises the waiver application process, requiring carriers to submit specific data on steps taken to address network inadequacy and pay a $500 application fee per county.

Minnesota SF3296 modifies health provider network adequacy provisions, including changes to referral center standards and waiver processes.

Minnesota SF3296 amends health provider network adequacy provisions by adjusting the criteria for designating referral centers and modifying the waiver process for network inadequacy. The bill allows health carriers to consider the volume of services, case mix, and severity-adjusted mortality and morbidity rates when designating referral centers. It also revises the waiver application process, requiring carriers to submit specific data on steps taken to address network inadequacy and pay a $500 application fee per county.