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Committee hears bill to require Medicaid network adequacy standards for nursing homes and rehab facilities
Summary
Testimony on SB 5124 urged the Health Care Authority to adopt network adequacy standards for nursing homes and inpatient rehabilitation facilities, with standards due Jan. 1, 2028 and MCOs required to comply by July 1, 2028; witnesses said the change would reduce hospital discharge delays caused by single-case agreements.
The House Health Care and Wellness Committee considered testimony Feb. 10 on a bill directing the Health Care Authority to set Medicaid network adequacy standards for nursing homes and inpatient rehabilitation facilities.
Chris Blake, staff to the committee, described the bill’s requirements: in setting standards the Health Care Authority must consider keeping care local to an enrollee’s community, availability in a regional service area, timeliness of care and federal…
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