Medicaid Prepaid Health Plan Practices

This bill allows North Carolina's Medicaid Prepaid Health Plans (PHPs) to require itemized bills for large inpatient hospital claims and to align their claims processing with national standards. It also permits PHPs to direct certain hospital services to outpatient settings when appropriate, with the Department of Health and Human Services setting the rules for when this is allowed. These changes would affect how PHPs handle claims and manage patient care within the Medicaid program.

No official summary on file for this bill · generated by Gemini 2.5 Flash from its full text

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