ALTCS; providers; change of ownership
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill addresses changes in ownership of licensed skilled nursing facilities and assisted living facilities participating in the Arizona Long-Term Care System (ALTCS). It establishes a process to ensure continued claim processing and payments under the previous owner’s contract for a period after a change of ownership, allowing the new owner time to establish their own enrollment and contracting arrangements. The bill also requires providers to compete for subcontracts and outlines procedures for awarding subcontracts when sufficient bids aren’t received.
Key provisions
- Requires competitive statewide proposals for provider subcontracts.
- Allows program contractors to negotiate subcontracts without a bid if there aren't enough qualified proposals.
- Establishes a rate cap for subcontracts, tied to weighted average rates for similar providers.
- Mandates that at least 10% of ALTCS members receive capitation-based services.
- Requires claims adjudication within 30 days of receipt.
- Specifies interest accrual on unpaid claims.
- Provides a transition period for continued claim processing and payments after a change of ownership.
- Requires written notice of a change of ownership at least 60 days in advance.
Who is affected
- Arizona Long-Term Care System (ALTCS) members
- Licensed skilled nursing facilities
- Assisted living facilities
- Healthcare providers participating in ALTCS
Bill text
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Sponsors
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4 on record
Primary sponsor
Cosponsors
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