SB58

Pennsylvania SB58 establishes the Medicaid Care Transition Program to streamline postacute placements for Medicaid enrollees.

Pennsylvania SB58 creates the Medicaid Care Transition Program within the Department of Human Services to address delays in postacute placements for Medicaid enrollees. The program mandates responsible entities to establish care transition units that collaborate with hospitals to identify suitable postacute care settings. These units must ensure hospitals have contact information, establish a formal request for assistance mechanism, and mitigate authorization issues. If in-network placements are unavailable within 24 hours, out-of-network options must be sought.