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AR HB1622
Bill
Status
4/16/2025
Primary Sponsor
Zack Gramlich
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AI Summary
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Expands the definition of "adverse decision" under the Medicaid Fairness Act to include imposition of corrective action plans and changes the requirement from decisions that "must have" a monetary penalty to those that have "or" a direct monetary consequence to providers
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Adds a new administrative reconsideration process allowing Medicaid providers to request reconsideration with the Department of Human Services before appealing to the Office of Medicaid Provider Appeals
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Clarifies that providers have the right to both administrative reconsideration and fair administrative appeals, with these rights to be liberally construed and not limited through technical or procedural arguments by DHS
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Requires administrative law judges employed by the Department of Health to conduct all Medicaid provider administrative appeals of adverse decisions
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Approved on April 16, 2025 as Act 635 of the Regular Session
Legislative Description
To Amend The Medicaid Fairness Act; To Modify The Definition Of "adverse Decision" Under The Medicaid Fairness Act; And To Provide For Administrative Reconsideration Under The Medicaid Fairness Act.
Last Action
Notification that HB1622 is now Act 635
4/16/2025