• Date Due: November 01, 2023
  • Author: Department of Medical Assistance Services
  • Enabling Authority: Chapter 336 Enactment Clause 1. (Regular Session, 2023)
  • Description:
    Report on: (i) the number and percentage of claims submitted to managed care organizations that were denied and the reasons for such denials, and (ii) the number and percentage of claims submitted to managed care organizations that required resubmission prior to payment and the reasons for such resubmissions, for each fiscal year from fiscal year 2018 through fiscal year 2022, and shall be organized by major provider type, including primary care providers and urgent care centers. The report shall include an examination of the data and identify barriers that providers encounter when accepting and treating patients enrolled in the state plan for medical assistance services. [Reporting requirements of Chapter 335, Enactment Clause 1., 2023 Acts of Assembly, are identical.]