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NC S727
Bill
AI Summary
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Reduces the maximum number of Provider-Led Entity (PLE) contracts for future Medicaid standard benefit plan award cycles from up to 12 regional contracts to up to 4 contracts (regional or statewide)
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Maintains four statewide contracts with commercial plans for future award cycles, replacing the current requirement for contracts with Prepaid Health Plans (PHPs)
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Allows PLEs in future cycles to bid for statewide coverage in addition to regional coverage, whereas initial contracts limited PLEs to regional coverage only
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Requires all qualifying PLEs to receive contracts if fewer than four submit timely responses meeting minimum RFP requirements; if four or more PLEs qualify, exactly four contracts must be awarded
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Takes effect immediately upon becoming law
Legislative Description
Number of Medicaid Standard Plan Contracts
Health Services
Last Action
Ref To Com On Rules and Operations of the Senate
3/26/2025