120.956           Out-of-Network Care by Health Plan Providers

120.956           Out-of-Network Care by Health Plan Providers:

MSSNY will petition health plans as well as the New York State Insurance Department to allow the health plan’s physician to charge a subscriber as an out-of-network provider when the subscriber is not an enrolled member of the physician’s specifically contracted health plan product. (HOD 2009-262; Reaffirmed HOD 2019)