Insurance and Real Estate Committee
Public Health Committee
AN ACT CONCERNING THE LISTING OF ADVANCED PRACTICE REGISTERED NURSES IN MANAGED CARE ORGANIZATION PROVIDER LISTINGS, AND PRIMARY CARE PROVIDER DESIGNATIONS
SUMMARY: By law, managed care organizations (MCOs) must annually provide health plan enrollees in writing or through the Internet at the enrollee's option a list of health care providers participating in the plan. This act requires the list to include, under a separate category or heading, participating advanced practice registered nurses (APRNs).
The act also allows an enrollee of a managed care plan that requires selection of a primary care provider to instead choose a participating, in-network APRN. Under prior law, an enrollee could only select a participating, in-network primary care physician.
Finally, the act requires all MCOs to notify their enrollees as soon as possible when their primary care provider leaves the MCO's provider network. Prior law limited the MCO's notification to an enrollee of a managed care plan that requires the enrollee to select a primary care physician.
EFFECTIVE DATE: October 1, 2011
OLR Tracking: ND: KS: PF: df