SB2006 Summary

• Department of Healthcare and Family Services must post all current MCO contracts and amendments on its website within 90 days, and post all contract changes within 60 days of execution, maintaining records for 24 months after contract termination.

• Department must post all operational policy changes to MCOs no later than 60 days before the effective date of each change, with all prior 12 months of changes posted within 180 days of the bill's effective date.

• MCOs are prohibited from implementing potentially preventable readmissions (PPR) policies until the Department adopts an updated fee-for-service PPR policy and approves the MCO's specific policy through public notice and comment; PPR policies cannot apply to behavioral health services or deny payment for readmissions resulting from prior hospital discharges.

• MCOs cannot make material changes to provider agreements that reduce reimbursement or increase administrative burden unless approved by the Department through a public notice process or agreed to in writing by the MCO and provider, with implementation delayed 90 business days and provider notification required 90 business days in advance.

• Effective immediately upon becoming law.