North Carolina S727 adjusts the number and nature of Medicaid standard benefit plan contracts awarded to ensure statewide and regional coverage.
North Carolina S727 modifies the number and nature of Medicaid standard benefit plan contracts. It mandates four contracts between the Division of Health Benefits and PHPs for statewide coverage. Additionally, it allows up to 12 contracts with PLEs for regional coverage, staggered over three to five years to prevent gaps. For subsequent contracts, it requires four statewide contracts with commercial plans and additional regional contracts with PLEs, provided they meet minimum RFP requirements.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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