Bill > HR7708

This bill aims to improve the accuracy of provider directories for Medicare Advantage (MA) network-based plans. It requires MA organizations to maintain an accurate and up-to-date provider directory, including verifying provider information at least every 90 days (or less frequently for hospitals and other facilities). The bill also provides cost-sharing protections for enrollees who receive services from a provider listed in the directory but is not part of the plan's network. Additionally, the bill requires MA organizations to conduct annual analyses of their provider directory accuracy and submit reports to the Centers for Medicare & Medicaid Services (CMS), which will then publish the accuracy scores. The bill also directs CMS to hold a stakeholder meeting and issue guidance to MA organizations and providers on maintaining accurate provider directories.

Budget and Finance, Health and Social Services

https://www.congress.gov/bill/118th-congress/house-bill/7708/all-info