New York S01911 mandates that health care plans provide detailed explanations for non-renewal notices to health care professionals.
New York S01911 amends the public health law and insurance law to require health care plans to include explanations for non-renewal notices sent to health care professionals. These notices must detail the reasons for non-renewal, which can include reimbursement rates, quality of care, utilization rates, credentialing requirements, and clinical appropriateness. Additionally, the notices must provide instructions on how the health care professional can respond to the non-renewal determination, including requesting reconsideration.
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