19 MAC Pt. 3, R. 13.05
Prohibited Practices
Cite as 19 Miss. Admin. Code Pt. 3, R. 13.05
Prohibited Practices
A. A health insurance issuer offering group or individual health insurance coverage may not:
1.
Deny to a patient eligibility, or continued eligibility, to enroll or to renew
coverage under the terms of the policy solely for the purpose of avoiding
the requirements of this Regulation; or
2.
Penalize or otherwise reduce or limit the reimbursement of an attending
provider or provide incentives (monetary or otherwise) to an attending
provider to induce such provider to provide care to an insured or enrollee
in a manner inconsistent with this Regulation.
B. Nothing in this Regulation shall be construed to prevent a health insurance issuer
offering group or individual health insurance coverage from negotiating the level
and type of reimbursement with a provider for care provided in accordance with
this Regulation.