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Senators hear bill requiring network adequacy standards for post-acute care under Medicaid managed care
Summary
Senate Bill 5124 would require the Health Care Authority to set network adequacy standards for post-acute services, including skilled nursing facilities and rehabilitation hospitals, and require managed-care contracts effective Jan. 1, 2027 to meet those standards.
The Senate Health and Long Term Care Committee held a public hearing Jan. 28 on Senate Bill 5124, sponsored by Sen. Mazal, which would direct the Health Care Authority (HCA) to adopt network adequacy standards for post-acute care services and require Medicaid managed-care contracts effective on or after Jan. 1, 2027 to meet those standards.
Committee staff described the bill's two primary requirements: HCA must establish and adopt network adequacy standards for post-acute care by June 30, 2026; and managed care organization (MCO)…
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