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GA SR1058
Resolution
Status
Engrossed
3/29/2018
Primary Sponsor
Tonya Anderson
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AI Summary
- Urges the U.S. Congress to restore the data-sharing agreement between CMS and TRICARE that ceased in early 2017, which had allowed states to identify individuals with both TRICARE and Medicaid coverage so that TRICARE could pay as the primary insurer
- The breakdown in data matching has prevented recovery of more than $18 million annually in payments where Medicaid erroneously paid claims that were TRICARE's primary responsibility, shifting costs from the federal government to the states
- TRICARE's one-year timely filing limitation, compared to Medicaid's three-year window for billing other liable parties, results in an additional $70 million annually being shifted to states; TRICARE's refusal to share data with Medicaid managed care organizations adds another $60 million annually in misallocated costs
- Georgia is home to approximately 432,055 TRICARE beneficiaries (4.6% of all TRICARE beneficiaries) and stands to bear roughly $3.22 million in costs if the issue is not resolved
- Calls on Congress to propose a resolution between CMS and TRICARE to immediately restore data sharing and waive the one-year timely filing restriction for all claims affected by the stoppage
Legislative Description
US Congress; halt the transfer of current and former military personnel's health care costs from federal government to the states; urge
Last Action
Senate Reconsidered Passed/Adopted As Amended
3/29/2018
Full Bill Text
No bill text available