HB 992 Summary

• Brings forward Section 43-13-117 of the Mississippi Code of 1972, which outlines Medicaid services and managed care provisions, for possible amendment during the 2023 regular session.

• Reestablishes comprehensive Medicaid coverage including inpatient/outpatient hospital services, physician services, prescription drugs, nursing facility services, dental services, mental health services, and numerous other healthcare services.

• Requires managed care entities to maintain minimum provider reimbursement rates equal to Medicaid rates, prohibits stricter prior authorization processes than the division's standards, and mandates uniform credentialing processes across contractors by December 1, 2021.

• Authorizes the Division of Medicaid to implement managed care programs, coordinated care organizations, and health maintenance organizations while maintaining provider protections and requiring annual audits and reporting to legislative committees.

• Section stands repealed on July 1, 2024, unless further legislative action is taken to extend it.