A bill for an act relating to the standardization of claim submission and reimbursement processes of managed care organizations.

HF 2053 standardizes how managed care organizations (MCOs) submit claims and get reimbursed for medical services under Iowa's medical assistance program. It requires the Department of Health and Human Services (HHS) to create uniform rules for claim processing and reimbursement levels by July 1, 2027, considering efficiency, federal rules, and funding. All existing MCO contracts must be updated to follow this standardized process, and new contracts after July 1, 2027, must include it. This directly affects MCOs managing Medicaid-like programs and healthcare providers who submit claims for patient services.