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GA HB1407
Bill
Status
Vetoed
6/4/2010
Primary Sponsor
Mickey Channell
Click for details
AI Summary
- Requires the Georgia Department of Community Health to contract with a single administrator to manage all dental services for Medicaid recipients and PeachCare for Kids participants, replacing the current care management organization model upon expiration or termination of existing contracts
- The single administrator must be selected through a competitive bidding process and is prohibited from outsourcing, subcontracting, or assigning any rights or obligations under its contract
- The single administrator must obtain a certificate of authority as a health maintenance organization from the Commissioner of Insurance and will be compensated on a prepaid, capitated basis
- The administrator must establish a dental provider fee schedule at no less than 85% of the maximum allowable payments published by the department in Appendix B of the Policies and Procedures for Dental Services as of January 1, 2010, subject to annual review and adjustment
- The Department of Community Health is required to submit any necessary modifications to the state Medicaid plan to implement these requirements
Legislative Description
Medicaid and PeachCare for Kids; single administrator for dental services; provisions
Last Action
Veto V15
6/4/2010
Committee Referrals
Health and Human Services3/30/2010
Health and Human Services3/16/2010
Full Bill Text
No bill text available