From the beginning, NCMS’s position has been that this unilateral “policy change” by Aetna is actually an amendment to your provider agreement with Aetna, and that Aetna must therefore follow the applicable legal requirements for proposing contract amendments. These requirements include individual notice of the proposed change and sixty (60) days to allow you to object. NCMS initiated a conversation with Aetna to share our concerns and request that Aetna follow the law.
Unfortunately, Aetna insisted in moving forward with the mid-level cut. So earlier this week NCMS submitted a letter to the NC Department of Insurance, seeking their assistance and requesting that they compel Aetna to follow state law. To read NCMS’s letter to NCDOI, click here.