Medicaid Managed Care Responsibility and Equity Act

Summary

Medicaid Managed Care Responsibility and Equity Act - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) with respect to managed care requirements. Requires a minimum medical loss ratio of at least 85% for Medicaid and CHIP managed care plans under contracts between a state and a managed medical care entity (health maintenance organization), but a minimum ratio of only 80% for an entity in which at least 10% of the enrollees are optional targeted low-income children. Prescribes administrative penalties for failure to maintain such ratios. Applies the same minimum medical loss ratios to a state child health (CHIP) plan, except for a medical loss ratio of at least 80% for managed care organizations.

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3 official files

• Introduced in Senate (text)

  Introduced in Senate · EN · 10 December 2013

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• Introduced in Senate (PDF)

  Introduced in Senate · EN · 10 December 2013

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• Introduced in Senate

  summary · EN · 10 December 2013

  Open at official source

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