165.980 Dismissals for Cause in Managed Care Contracts:
The Medical Society of the State of New York shall seek legislation that no terminations or non-renewals of physician contracts with managed care plans shall be valid without cause, and will seek the introduction of legislation which would require managed care plans to provide all physicians with a fair and equitable due process appeal if they are excluded from a managed care plan regardless of the reasons for such exclusion and irrespective of whether such exclusion is considered to be a termination or a non-renewal. Such due process hearing shall be held before a panel which is composed of three New York State licensed physicians, one of whom is chosen by the plan, one of whom is chosen by the physician who is the subject of the hearing, and the third who is chosen by the other two members of the panel. At this hearing, the physician shall be entitled to be advised of the reason for his de-selection and shall be provided with: (a) the opportunity to be represented by counsel, and (b) the right to call witnesses and present evidence in support of this position. (HOD 1997-53; Reaffirmed HOD 2014)
