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AR SB222
Bill
Status
3/18/2025
Primary Sponsor
Breanne Davis
Click for details
AI Summary
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Direct service providers may inform existing or potential Medicaid enrollees about their network status with risk-based provider organizations without committing a marketing violation
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The Department of Human Services and risk-based provider organizations cannot require providers to separate communications about network status from open enrollment information, provided enrollees are informed of their freedom of choice
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Providers may respond to individuals' questions about open enrollment or network status as long as they do not attempt to influence the individual's choice or provide inaccurate/misleading information
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Direct service providers must comply with federal managed care marketing rules at 42 C.F.R. § 438.104 as existing on January 1, 2025
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Declared an emergency and approved March 18, 2025, to immediately address confusion affecting Medicaid beneficiaries' ability to make informed care decisions during annual enrollment and "for cause" changes
Legislative Description
To Amend The Medicaid Provider-led Organized Care Act; To Clarify Marketing By Providers Under The Medicaid Provider-led Organized Care Act; And To Declare An Emergency.
Last Action
Notification that SB222 is now Act 301
3/18/2025