MS HB602

Managed care organizations (MCOs) under Mississippi Medicaid are prohibited from transferring a beneficiary to another MCO or to fee-for-service Medicaid more than once every 12 months

Transfers within the 12-month restriction period are only permitted if the Division of Medicaid determines there is a significant medical reason for the additional transfer

The restriction applies to all health maintenance organizations, coordinated care organizations, provider-sponsored health plans, and other capitated managed care entities operating under the state's Medicaid program

Amends Section 43-13-117 of the Mississippi Code of 1972, with an effective date of July 1, 2022