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 empower Medicaid beneficiaries with essential 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 survey scores, and follow-up care percentages for individuals with intellectual and developmental disabilities as well as behavioral health needs. Additionally, the bill mandates that these ratings be prominently displayed on the Department of Human Services' website.

Furthermore, the bill requires each risk-based provider organization to provide real-time access to its provider network directory and ensure that it is updated regularly. It also establishes a dedicated beneficiary support office within the Department of Human Services to assist enrollees with information regarding provider organizations, open enrollment, and the quality rating system. The act is set to take effect on January 1, 2026, and allows the Department of Human Services to promulgate rules for its implementation.