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2015 SESSION
SB 715 Medicaid; DMAS to enter into contracts in regions with regional care organizations.
Introduced by: William M. Stanley, Jr. | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Medicaid; regional care organizations. Directs the Department of Medical Assistance Services (Department), subject to approval of the federal Centers for Medicare and Medicaid Services, to enter into contracts in regions of the Commonwealth with regional care organizations (RCOs). Under the contracts, an RCO will provide medical care to Medicaid beneficiaries and receive capitated payments from the Department. The Department is required to enroll a majority of the Commonwealth's Medicaid beneficiaries into RCOs. An RCO may contract with any willing health care provider to provide services in a Medicaid region if the provider is willing to accept the payments and terms offered to comparable providers. In order to be certified as an RCO, an organization is required to be certified by the Department as meeting eligibility requirements, including financial standards and service delivery network requirements.
FULL TEXT
HISTORY
- 12/04/14 Senate: Prefiled and ordered printed; offered 01/14/15 15100721D
- 12/04/14 Senate: Referred to Committee on Education and Health
- 01/22/15 Senate: Passed by indefinitely in Education and Health (15-Y 0-N)