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Senate adopts tighter rules for Medicaid managed‑care contractors and adds ambulance reimbursement change
Summary
The Legislature advanced LB380, tightening oversight and audit rules for Medicaid managed‑care organizations and, by floor amendment, opened the way for a federal supplemental reimbursement program for ambulance services.
The Legislature advanced LB380, a Health and Human Services priority that updates statutes governing Medicaid managed‑care organizations (MCOs) and imposes new transparency, audit and network adequacy requirements.
Senator Megan Ferguson, sponsor of LB380, said the bill responds to provider complaints about unpredictable audits and a lack of transparency in MCO contracts and utilization review. “LB380 provides updated guardrails in our Medicaid program so that our expectations are clear to both the department and…
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