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States gain flexibility in Medicaid eligibility determinations

New rules allow states to hire outside companies to determine if citizens qualify for Medicaid. This aims to streamline the process while including safeguards to prevent these companies from delaying or denying benefits to eligible individuals. This means citizens might get faster decisions on their medical assistance eligibility.
Key points
States can now use external contractors to assess Medicaid eligibility.
Contracts with these entities must not incentivize delays or wrongful denials of benefits.
The goal is to speed up the eligibility verification process for citizens seeking medical aid.
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Additional Information
Print number: 117_HR_9359
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]
Process start date: 2022-11-29