Requires that any insurance contract issued, amended or renewed on or after January 1, 2025, that provides hospital, medical or surgical coverage shall provide coverage for medically necessary treatment of mental health or substance use disorders.
Establishes the right of a medical practitioner, healthcare institution, or healthcare payer not to participate in or pay for any medical procedure or service this violates their conscience.
Outlines the insurance coverage standards, protocols and guidelines for medically necessary treatment of individuals with mental health or substance abuse use disorders.
Requires healthcare plans in RI to notify providers of any proposed amendments to an agreement 60 days before the effective date and requires 60 days notice of any amendment to a manual, policy or procedure that is referred to in a provider agreement.
Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.
Requires that the department of human services and the department of behavioral healthcare, developmental disabilities and hospitals provide forecasted costs reflecting the recommended rate review on a monthly basis.
Requires that the department of human services and the department of behavioral healthcare, developmental disabilities and hospitals provide forecasted costs reflecting the recommended rate review on a monthly basis.