House Bill 815 Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans

Bill Introduced

2025 Regular

Bill Summary

Authorizes AHCA to conduct or cause to be conducted reviews, investigations, analyses, audits, & combinations thereof, to determine if managed care organizations, managed care plans, & their subcontractors violate Medicaid program integrity in their patient referrals; prohibits managed care organizations, managed care plans, & their subcontractors from violating Medicaid program integrity by referring Medicaid recipients, for treatments & services, to entities having certain financial relationships & arrangements with organizations, plans, & their subcontractors.

Subject

Some type of bill category

Sponsors

Basabe

Last Action

Now in Health Care Facilities & Systems Subcommittee on (2/26/2025)

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