Managed Care Organizations - As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and appr...

Summary

The bill stops managed care organizations (MCOs) from adding clauses that let them terminate contracts with qualified nursing facilities for Medicaid services without cause or without specifying reasons. It gives the Bureau of TennCare sole authority to decide if a facility can be removed and requires the bureau to approve all MCO contract templates. The change protects nursing homes and Medicaid patients by ensuring continuity of care and consistent oversight.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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