No. SB 40
Filed under Healthcare.
Medicaid Providers; Requiring the Agency for Health Care Administration to include specified requirements in its contracts with Medicaid managed care plans; defining the term “outside of regular business hours”, etc.
Plain English Summary
AI-GENERATEDThe state agency must set standards guaranteeing Medicaid enrollees can reach network providers on state holidays and outside normal business hours, defined as weeknights after 5 p.m., before 8 a.m., and all weekend.
At least half of the primary care providers in each Medicaid managed care plan's network must offer enrollees appointments during those after-hours windows, not just during the standard workday.
Every other requirement in this list -- the provider database, quarterly enrollment reports, drug formulary postings, electronic prior authorization, and foster-child recordkeeping -- already existed and is only being renumbered here.
AIAt least 50 percent of the primary care providers in a Medicaid plan's provider network must offer Medicaid enrollees appointment availability outside of regular business hours, defined as weeknights from 5 p.m. to 8 a.m. and all day Saturday and Sunday.
AIThe Agency for Health Care Administration must establish specific standards ensuring Medicaid enrollees can reach network providers on state holidays and outside of regular business hours, though the bill sets no deadline for when those standards must be adopted.