Missouri § 354.559 Disclosure to members, restrictions and prohibitions.

Missouri Statutes

§ 354.559 — Disclosure to members, restrictions and prohibitions.

Missouri § 354.559

Title XXIIICORPORATIONS, ASSOCIATIONS AND PARTNERSHIPS

Ch. 354Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans

This text of Missouri § 354.559 (Disclosure to members, restrictions and prohibitions.) is published on Counsel Stack Legal Research, covering Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Mo. Rev. Stat. § 354.559 (2026).

Text

No community-based health maintenance organization shall prohibit or restrict any provider from disclosing to any subscriber, enrollee or member any information that such provider deems appropriate regarding the nature of treatment, risks or alternatives thereto, the availability of other therapy, consultation or test, the decision of any plan to authorize or deny services, or to process the plan or any person to authorize or deny services, or to process the plan or any person contracting with the plan uses or proposes to use, to authorize or deny health care services or benefits.  Any such prohibition or restriction contained in a contract with a provider entered into after August 28, 1997, shall be void and unenforceable.  The standards used to determine if a community-based health maint

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No community-based health maintenance organization shall prohibit or restrict any provider from disclosing to any subscriber, enrollee or member any information that such provider deems appropriate regarding the nature of treatment, risks or alternatives thereto, the availability of other therapy, consultation or test, the decision of any plan to authorize or deny services, or to process the plan or any person to authorize or deny services, or to process the plan or any person contracting with the plan uses or proposes to use, to authorize or deny health care services or benefits. Any such prohibition or restriction contained in a contract with a provider entered into after August 28, 1997, shall be void and unenforceable. The standards used to determine if a community-based health maintenance organization has prohibited or restricted a provider's disclosure in violation of this section shall be those established by federal regulation of the Health Care Financing Administration for use in regulating managed care plans serving Medicare enrollees.