Requires health care plans to provide detailed explanations and response options in non-renewal notices to health care professionals.
This bill amends the public health law and the insurance law to mandate that notices of non-renewal from health care plans to health care professionals include specific reasons for the non-renewal. These reasons may include reimbursement rates, quality of care, utilization rates, credentialing requirements, or clinical appropriateness of services. The notices must also provide instructions on how the health care professional can respond to the non-renewal determination. This ensures transparency and allows for potential reconsideration by the health care plan.
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