House Bill No. 740, introduced by Representative Chenevert, aims to enhance the Medicaid managed care system by establishing an independent claims review process specifically for providers within the Coordinated System of Care (CSoC). The bill amends existing law to include a new definition for CSoC, which focuses on addressing the needs of young individuals facing significant behavioral health challenges and their families. Additionally, it clarifies that adverse determinations related to litigation or arbitration that do not involve individuals enrolled in the CSoC or Medicaid are not eligible for independent review.

The bill also introduces a definition for "managed care organization," aligning it with the existing law while specifying that it includes any entity contracted with the state to administer the CSoC program. The amendments made by the House Committee on Health and Welfare primarily involve technical changes to improve the clarity and functionality of the legislation. Overall, this bill seeks to ensure that providers in the CSoC have access to an independent review process for claims, thereby enhancing the support and resources available to vulnerable youth and their families.

Statutes affected:
HB740 Original: 46:81(C)
HB740 Engrossed: 46:81(C)