HB 1109: Health Care Provider Participation in Medicaid Managed Care Organizations
GENERAL BILL by Berfield
Health Care Provider Participation in Medicaid Managed Care Organizations; Requires that health care providers wanting to participate in Medicaid managed care organizations enroll with AHCA & be credentialed for & enter into contract with Medicaid managed care organizations; requires agency to enroll health care providers within specified timeframe; provides date of enrollment; requires health care providers to submit credentialing applications to credentialing verification organizations; provides requirements for contracts between agency & such organizations; provides requirements for contracts between Medicaid managed care organizations & health care providers; encouraging licensing boards to cooperate with agency & credentialing verification organizations; provides date on which providers' claims become eligible for payment; prohibits Medicaid managed care organizations from imposing certain requirements relating to clean claims within specified timeframe.
Last Action: 3/5/2025 House - Now in Health Care Facilities & Systems Subcommittee
Bill Text: PDF
Bill History
| Date | Chamber | Action |
|---|---|---|
| 2/25/2025 | House |
• Filed |
| 3/4/2025 | House |
• 1st Reading (Original Filed Version) |
| 3/5/2025 | House |
• Referred to Health Care Facilities & Systems Subcommittee • Referred to Health Care Budget Subcommittee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee |
