HB 883 Mississippi House · 2025 Regular Session

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

HB 883 modifies Mississippi's Medicaid rules for managed care providers during credentialing and appeal processes. It allows on-site supervisors at managed care organizations to approve provider work and authorize payment for that work while a provider waits for a final credentialing decision. The bill also prohibits Medicaid from suspending payments during an appeal unless the provider has a prior fraud conviction related to Medicaid. These changes directly affect healthcare providers (like clinics or hospitals) participating in Medicaid managed care programs, ensuring they can receive payment for services rendered during disputes. The policy focuses on maintaining payment continuity during administrative reviews without requiring prior fraud findings.
Bill status died 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 17, 2025 Last action Feb 4, 2025
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Total actions
2
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0
Committee
1
Jan 17, 2025
Committee
Referred To Medicaid
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Rob Roberson
Rob Roberson
RRepublican
MS
43