Medicaid Provider Networks

Removed the original requirement for Medicaid plans and providers to negotiate mutually acceptable payment rates, replacing it with a mandate for the agency to establish specific network adequacy standards for dental services.

Added specific requirements for prepaid dental plans to establish network standards for sedation dentistry, ensuring enrollees can access at least two appointments per year.

Required managed care plans to create and maintain an electronic database that identifies whether providers are accepting new patients, which must be available online for public comparison.

Mandated that plans publish drug formularies online within 24 hours of changes and provide accessible prior authorization processes for providers.

Deleted the specific provision requiring plans to pay dentists at rates equal to or higher than agency-set rates.