North Carolina H558 updates criteria for Medicaid prepaid health plan contracts, limiting contracts to statewide coverage and prioritizing certain.

North Carolina H558 revises the criteria for procuring Medicaid prepaid health plan contracts. It mandates that all standard benefit plan contracts cover Medicaid recipients statewide, prohibiting regional contracts. The bill limits the number of contracts between the Division of Health Benefits and prepaid health plans (PHPs) to no more than four. It also allows for up to 12 contracts with preferred local entities (PLEs) for specified regions, in addition to the four statewide contracts.

North Carolina H558 updates criteria for Medicaid prepaid health plan contracts, limiting contracts to statewide coverage and prioritizing certain.

North Carolina H558 revises the criteria for procuring Medicaid prepaid health plan contracts. It mandates that all standard benefit plan contracts cover Medicaid recipients statewide, prohibiting regional contracts. The bill limits the number of contracts between the Division of Health Benefits and prepaid health plans (PHPs) to no more than four. It also allows for up to 12 contracts with preferred local entities (PLEs) for specified regions, in addition to the four statewide contracts.