Bill Summary

by Basabe

Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans: Authorizes AHCA to conduct or cause to be conducted reviews, investigations, analyses, audits, & combinations thereof, to determine if managed care organizations, managed care plans, & their subcontractors violate Medicaid program integrity in their patient referrals; prohibits managed care organizations, managed care plans, & their subcontractors from violating Medicaid program integrity by referring Medicaid recipients, for treatments & services, to entities having certain financial relationships & arrangements with organizations, plans, & their subcontractors. Effective Date: July 1, 2025

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