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CO HB1330
Bill
Status
4/23/2018
Primary Sponsor
David Young
Click for details
AI Summary
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Creates supplemental state payments to qualified providers for office-administered oncology drugs who experienced reimbursement reductions in fiscal year 2017-18 due to federal rule changes published February 1, 2016.
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Defines "qualified providers" as entities enrolled as of July 1, 2017, that provided office-administered drugs under Medicaid between July 1-December 31, 2017, and experienced documented reimbursement reductions for oncology-related drugs.
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Requires the State Department to allocate $754,000 in general fund appropriations proportionate to each provider's documented reimbursement reduction, based on the difference between pre-implementation and post-implementation fee schedules.
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Mandates supplemental payments be distributed no later than December 31, 2018, allows providers 30 days to request recalculation after notification, and permits recovery of payments if fraudulent claims are discovered.
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Authorizes the statute to expire July 1, 2019, and includes an emergency safety clause.
Legislative Description
Supplemental Payment Office-administered Drugs Medicaid
Last Action
Governor Signed
4/23/2018