NC S330

Requires Local Management Entities/Managed Care Organizations (LME/MCOs) to submit quarterly reports to DHHS beginning October 1, 2025, for four years, including data on emergency department stays over 24 hours, provider access delays, retained funds from unused approved services, and network provider counts.

Mandates LME/MCOs report the number of individuals unable to access healthcare providers within 30 days of service approval and those eligible for mental health, behavioral, or substance use services who are not receiving them.

Establishes minimum service standards requiring LME/MCOs to have fewer than two beneficiaries per county "boarded" (held over 24 hours after medical clearance) in emergency departments at any one time.

Requires at least 85% of individuals to access a willing provider and begin receiving approved services within 45 days of approval, excluding specialized medical services with extended wait times for non-Medicaid patients.

Failure to meet access benchmarks for two consecutive quarters constitutes failure to provide minimally adequate services, triggering mandatory corrective action by the Secretary.