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.
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Bill History
Date Chamber Action 2/25/2025 House • Filed
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HB 1109, Original Filed Version (Current Bill Version) Posted 2/25/2025 at 4:25 PM
Bill Text: PDF Analyses: None Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1236 Centralized Medicaid Provider Credentialing Simon Similar Last Action: 2/25/2025 S Filed 
Citations - Statutes (1)
Citation Catchline Location in Bill Location In Bill Help 409.9663 Page 2 (pdf)