165.895                Requirement for MCOs to Provide Education and Training Initiatives

165.895                Requirement for MCOs to Provide Education and Training Initiatives:

MSSNY will legislation that would require: (1) each third-party insurer to develop and implement a formal Local Provider Education and Training (LPET) Initiative, designed to give panel physicians all the information they need now and in the future about the carrier’s policies, procedures, and coverage issues, in order to receive appropriate reimbursement; and (2) third-party insurers to provide dedicated and identifiable staff, telephone lines, and e-mail addresses, whereby physicians can contact the carrier in order to fully understand and abide by the carrier’s policies and procedures. (HOD 2007-256; Reaffirmed HOD 2017)