The bill aims to amend the Medicaid Provider-Led Organized Care Act to enhance the enrollment and selection process for risk-based provider organizations and to provide Medicaid beneficiaries with better access to information. Key provisions include the establishment of a quality rating system for risk-based provider organizations, which will be accessible online and will include various performance metrics such as care coordinator caseload ratios, satisfaction surveys, and follow-up care statistics. Additionally, the bill mandates that provider directories be updated in real-time and that beneficiaries have access to a dedicated support office within the Department of Human Services to assist with inquiries and issues related to their care.

Furthermore, the bill outlines specific requirements for the quality rating system, including the collection of data on service delivery timelines and satisfaction levels among individuals with intellectual and developmental disabilities as well as those with behavioral health needs. The Department of Human Services is also empowered to create rules for the implementation of these changes, with the act set to take effect on January 1, 2026.