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Committee hears SB 5124 to set Medicaid network standards for nursing homes, rehab facilities
Summary
SB 5124 directs the Health Care Authority to establish Medicaid network adequacy standards for nursing homes and inpatient rehabilitation facilities, with standards to be adopted by 01/01/2028 and MCOs required to comply by 07/01/2028. Supporters said the bill will reduce hospital 'stays' caused by placement delays.
The Health Care and Wellness Committee considered Senate Bill 5124 on Feb. 10, a bill that would require the Health Care Authority to adopt Medicaid network adequacy standards for nursing homes and inpatient rehabilitation facilities.
Committee staff explained the proposed standards must balance keeping care local to an enrollee’s community, regional availability, timeliness of care and compliance with federal Medicaid requirements. The staff summary said the Health Care…
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