This bill addresses provisions related to Medicaid providers.
This bill:
- requires the Department of Health and Human Services (department) to:
establish quality measures for evaluating certain Medicaid providers' performance; evaluate certain Medicaid providers on performance as measured by the quality measures; andannually report to the Social Services Appropriations Subcommittee on the performance based on the quality measures of the Medicaid providers determined by the Legislature;
- requires the department to implement a closed loop referral system for referrals for the delivery of health-related social needs care to Medicaid-eligible individuals;
- requires the Division of Services for People with Disabilities (division) to notify a provider of amendments to the provider's contract with the division;
- defines terms; and
- makes technical and conforming changes.Statutes affected:
Introduced: 26B-1-315, 26B-6-403
Substitute #1: 26B-1-315, 26B-6-403
Substitute #2: 26B-6-403
Substitute #3: 26B-6-403
Substitute #4: 26B-6-403
Enrolled: 26B-6-403
Amended 3/3/2026 19:03:875: 26B-6-403
Amended 3/5/2026 17:03:805: 26B-6-403
Substitute #5: 26B-6-403