Rhode Island H7862 prohibits healthcare entities from unilaterally modifying healthcare provider contracts.

Rhode Island H7862 amends the Healthcare Accessibility and Quality Assurance Act to prohibit healthcare entities from unilaterally modifying, amending, or reinterpreting any material term or condition of a contract with a healthcare provider during the term of such contract. Changes to reimbursement methodologies, payment terms, carrier policies, definitions of covered services, utilization review requirements, quality management requirements, credentialing requirements, billing or documentation requirements, and clinical policy bulletins are among the terms that cannot be altered without.

Rhode Island H7862 prohibits healthcare entities from unilaterally modifying healthcare provider contracts.

Rhode Island H7862 amends the Healthcare Accessibility and Quality Assurance Act to prohibit healthcare entities from unilaterally modifying, amending, or reinterpreting any material term or condition of a contract with a healthcare provider during the term of such contract. Changes to reimbursement methodologies, payment terms, carrier policies, definitions of covered services, utilization review requirements, quality management requirements, credentialing requirements, billing or documentation requirements, and clinical policy bulletins are among the terms that cannot be altered without.