Bill > HB146

This bill mandates that managed care organizations (MCOs), which are private companies contracted by the state's Division of Medicaid to manage healthcare services for Medicaid beneficiaries, must use a clear set of "level of care guidelines" when determining if a medical service is "medically necessary" and in all their practices that manage patient care. These guidelines must align with widely accepted professional standards. The bill also prohibits MCOs from using any additional criteria that would lead to denying care that these established guidelines and specific principles would deem appropriate and medically necessary. This aims to ensure that MCOs adhere to consistent and professional standards in their decision-making processes for approving or denying medical services for Medicaid recipients.

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https://billstatus.ls.state.ms.us/2026/pdf/history/HB/HB0146.xml