Pennsylvania HB440 prohibits medical assistance managed care payments for provider-preventable conditions.
Pennsylvania HB440 amends the Human Services Code to prohibit medical assistance managed care organizations from paying for provider-preventable conditions. These conditions include wrong surgical or invasive procedures, performed on the wrong body part or patient. The bill defines "provider-preventable conditions" as those identified in the State plan, reasonably preventable through evidence-based guidelines, and having negative consequences for patients. This act takes effect in 60 days.
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