Managed care insurers must act on authorizing procedures and respond to your complaints in a timely manner. Managed care insurers must disclose to the Department of Insurance any financial arrangements which might restrict or limit the services offered to a patient. You Managed care insurers cannot offer any financial incentives or rewards to physicians for limiting health care to you. Managed care insurers' standards and information on their physcian selection process must be made available to physicians. A sixty-day written notice of contract termination must be given to physicians along with the reason for termination.
Physicians have the opportunity to appeal the termination.
Managed care insurers must payclaims in a timely manner and must establish a payment dispute resolution process. Physicians have at least 30 days to review a managed care contract. Physicians cannot charge or bill patients for covered services that managed care insurers failed to pay. Managed care medical directors must be a licensed Missouri physician.