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AR SB542
Bill
Status
5/5/2025
Primary Sponsor
Breanne Davis
Click for details
AI Summary
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Requires risk-based provider organizations to establish an online quality rating system measuring metrics including wait times for home- and community-based services, care coordinator caseloads, member satisfaction surveys, follow-up care rates within 7 days of emergency department visits, and enrollee complaint incidence
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Mandates real-time online access to provider network directories through both the Department of Human Services website and each organization's website, with updates required within 10 business days when providers change to out-of-network status
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Establishes a dedicated beneficiary support office within DHS to provide information on open enrollment, choice counseling, provider networks, and quality ratings, with ombudsman authority to help resolve disputes between enrollees and organizations
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Requires satisfaction surveys covering community integration, living arrangements, competitive employment rates, and care coordinator performance for individuals with intellectual/developmental disabilities and behavioral health needs
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Effective January 1, 2026, with DHS authorized to promulgate implementing rules
Legislative Description
To Amend The Medicaid Provider-led Organized Care Act; To Improve The Enrollment And Selection Process In Risk-based Provider Organizations; And To Empower Beneficiaries With Information.
Last Action
Died in Senate Committee at Sine Die adjournment.
5/5/2025