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Bill > HB624


MS HB624

MS HB624
Medicaid; restrict frequency of managed care organizations transferring enrollees to other organizations.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
Dead
02/03/2026

Introduced Session

2026 Regular Session

Bill Summary

An Act To Amend Section 43-13-117, Mississippi Code Of 1972, To Prohibit A Managed Care Organization Under Any Managed Care Program Implemented By The Division Of Medicaid From Transferring A Beneficiary Who Is Enrolled With The Managed Care Organization To Another Managed Care Organization Or To A Fee-for-service Medicaid Provider More Often Than One Time In A Period Of Twelve Months Unless There Is A Significant Medical Reason For Making Another Transfer Within The Twelve-month Period, As Determined By The Division; And For Related Purposes.

AI Summary

This bill amends Mississippi law to restrict how often Managed Care Organizations (MCOs), which are private companies that manage healthcare services for Medicaid beneficiaries, can transfer individuals enrolled with them to different MCOs or to a fee-for-service Medicaid provider. Specifically, an MCO can only transfer an enrollee once within a twelve-month period, unless there is a significant medical reason for an additional transfer, as determined by the Division of Medicaid, which oversees the state's Medicaid program. This change aims to provide more stability for beneficiaries in their healthcare arrangements.

Committee Categories

Agriculture and Natural Resources

Sponsors (1)

Last Action

Died In Committee (on 02/03/2026)

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