Florida S0152 amends Medicaid provider network requirements, focusing on provider availability, data transparency, and quality standards.

Florida S0152 establishes stricter criteria for Medicaid provider networks, ensuring that managed care plans maintain comprehensive databases of contracted providers. These databases must include detailed information such as licensure, specialty credentials, and performance indicators. Managed care plans are mandated to publish drug formularies and preferred drug lists online, updating them within 24 hours of any changes. Providers must offer a minimum of 20 hours per week of direct patient care to be listed, with specialty care providers categorized separately.

Florida S0152 amends Medicaid provider network requirements, focusing on provider availability, data transparency, and quality standards.

Florida S0152 establishes stricter criteria for Medicaid provider networks, ensuring that managed care plans maintain comprehensive databases of contracted providers. These databases must include detailed information such as licensure, specialty credentials, and performance indicators. Managed care plans are mandated to publish drug formularies and preferred drug lists online, updating them within 24 hours of any changes. Providers must offer a minimum of 20 hours per week of direct patient care to be listed, with specialty care providers categorized separately.