MEDICAID MANAGED CARE: Provides for independent claims review of Coordinated System of Care providers

Added a new definition for 'Coordinated System of Care (CSoC)' describing it as a collaborative program for youth at risk of out-of-home placement involving multiple state agencies.

Modified the definition of 'managed care organization' to include any entity contracted with the state to administer the CSoC program.

Modified the eligibility for independent claims review to explicitly include individuals enrolled in the CSoC program, whereas the previous law excluded them.

Updated the prohibition on mandatory arbitration to apply to disputes involving entities contracted to administer the CSoC program, ensuring these providers can seek independent review like other Medicaid providers.

The definition of 'Coordinated System of Care' was updated to describe it as a coordinated network of resources involving multiple state departments to serve children with complex behavioral health needs.

New provisions were added to exempt adverse determinations for claims filed before January 1, 2018, and January 1, 2027, from the requirement to resolve payment disputes through arbitration.

The 'Engrossed' header and related metadata were removed and replaced with 'Enrolled' status, along with signatures from the Governor and legislative officers.