behavioral health; contracts; network adequacy

SB 1629 requires Arizona managed care organizations (MCOs) to submit a detailed network adequacy study to the administration before terminating contracts with "high-volume" behavioral health service providers (those delivering ≥10% of a specific service or employing >10% of licensed providers) without cause. The study must analyze service provider-to-enrollee ratios, appointment wait times, patient volume, impacts on disabled members, and cumulative termination effects, with MCOs providing 90 days' written notice. The administration reviews these studies within 10 business days and must confirm network adequacy standards will be maintained before allowing termination. This bill directly affects MCOs and high-volume behavioral health providers by creating a review process to prevent disruptions in mental health services.