Rhode Island S3089 prohibits healthcare entities from unilaterally modifying healthcare provider contracts.

Rhode Island S3089 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. Material terms include 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.

Rhode Island S3089 prohibits healthcare entities from unilaterally modifying healthcare provider contracts.

Rhode Island S3089 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. Material terms include 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.