Requires notice and additional review for managed care providers of the methodologies and fee schedules and other materials used for determining medicaid reimbursement rates.
Requires notice and additional review for managed care providers of the methodologies and fee schedules and other materials used for determining medicaid reimbursement rates.
Requires notice and additional review for managed care providers of the methodologies and fee schedules and other materials used for determining medicaid reimbursement rates.
Requires notice and additional review for managed care providers of the methodologies and fee schedules and other materials used for determining medicaid reimbursement rates.
Relates to Medicaid reimbursement rates for private duty nursing; requires DOH to publish a private duty rate schedule.
Relates to Medicaid reimbursement rates for private duty nursing; requires DOH to publish a private duty rate schedule.
Medicaid; delete freeze on provider reimbursement rates and establish procedure for review of proposed rate changes.
Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.
Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.
Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.