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Bill Tracker

Bill Number: SF211
Title: MCO Review Process

Establishes an external review process for the review of final adverse determinations of a Medicaid managed care organization’s (MCO’s) internal appeal processes. Makes the external review process available to a Medicaid provider who has been denied the provision of services to a Medicaid member or a claim for reimbursement, and who has exhausted the internal appeals process of an MCO. 

Status: Assigned to Committee
Committee: Senate Human Resources Committee
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Last Modified: 03/08/2019
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