HB1155 Summary

• Establishes a five-year pilot program beginning January 1, 2019 for a provider-sponsored health plan to participate in Mississippi's Medicaid managed care program, covering at least 20% of managed care enrollees.

• Requires that any provider-sponsored health plan selected must be established and licensed by the Department of Insurance on the bill's effective date to qualify for the pilot program.

• Directs the Division of Medicaid to compare the pilot plan's performance against other plans in four areas: health outcomes, administrative costs, provider satisfaction, and provider participation.

• Requires the Division of Medicaid to submit annual comparative performance reports to the House Medicaid Committee and Senate Medicaid Committee beginning December 2020.

• Extends the repeal date of Section 43-13-117 from June 30, 2018 to July 1, 2021 to accommodate the pilot program timeline.