Any Willing Provider Law – WISCONSIN

WISCONSIN SUMMARY OF EXISTING LAW

No provider may be denied the opportunity to participate in a health care plan, other than an HMO, PPO, or limited service health organization plan, provided it meets the terms and conditions of the plan.

An HMO, PPO or limited service health organization that provides coverage of pharmaceutical services shall provide an annual period of at least 30 days during which any registered pharmacist may elect to participate in the plan under its terms as a selected provider for at least one year.

Link to Existing Law: Wis. Stat. Ann. § 628.36

PRACTICAL NOTE FOR EXSISTING LAW

This statute would benefit from additional clarification to strengthen its ‘Any Willing Provider Law’ requirements. As written, it may have some explicit applicability to physician dispensers, but not necessarily in the context of HMOs, PPOs or limited service health organizations.