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ID H0681
Bill
AI Summary
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Establishes a uniform application form for both initial medicaid eligibility review and county medically indigent program financial assistance applications, to be developed by July 1, 2010, in cooperation with county and hospital associations.
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Transfers administrative authority from the "administrator" to a "catastrophic health care cost program board" throughout the code, establishing a 12-member board consisting of county commissioners, legislators, and appointed officials to oversee the state catastrophic health care program.
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Implements a suspension procedure for initial application denials when the sole basis is applicant eligibility for other public assistance programs, with time limitations tolled during the suspension period until other assistance eligibility is determined.
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Requires hospitals and providers seeking reimbursement to participate in utilization management programs and third party recovery systems, with payment limited to amounts recommended by utilization review and current medicaid rates.
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Clarifies medicaid eligibility determination procedures, deemed consent provisions, and cost-sharing responsibilities between counties (up to $11,000 per claim) and the state catastrophic health care cost program (amounts exceeding $11,000 in any 12-month period).
Legislative Description
Amends existing law relating to the medically indigent.
MEDICALLY INDIGENT
Last Action
Governor signed Session Law Chapter 273 Effective: 07/01/10
4/8/2010