HB 1109 Florida House · 2025 Regular Session

Health Care Provider Participation in Medicaid Managed Care Organizations

Summary
Health Care Provider Participation in Medicaid Managed Care Organizations; Requires that health care providers wanting to participate in Medicaid managed care organizations enroll with AHCA & be credentialed for & enter into contract with Medicaid managed care organizations; requires agency to enroll health care providers within specified timeframe; provides date of enrollment; requires health care providers to submit credentialing applications to credentialing verification organizations; provides requirements for contracts between agency & such organizations; provides requirements for contracts between Medicaid managed care organizations & health care providers; encouraging licensing boards to cooperate with agency & credentialing verification organizations; provides date on which providers' claims become eligible for payment; prohibits Medicaid managed care organizations from imposing certain requirements relating to clean claims within specified timeframe.
Bill status died 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 25, 2025 Last action Jun 16, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
8
Key actions
1
Committee
4
Mar 5, 2025
Lower · Passed
Now in Health Care Facilities & Systems Subcommittee
lower
Mar 5, 2025
Committee
Referred to Health & Human Services Committee
lower
Mar 5, 2025
Committee
Referred to Health Care Budget Subcommittee
lower
Mar 5, 2025
Committee
Referred to Health Care Facilities & Systems Subcommittee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kim Berfield
Kim Berfield
RRepublican
FL
58