House Bill 260 - Medicaid Amendments Summary

• Repeals outdated Medicaid payment sections and revises reimbursement methodologies for various healthcare providers including developmental disability agencies, mental health services, and pharmacy services

• Establishes a new Medicaid Cost Containment and Health Care Improvement Act (sections 56-260 through 56-266) authorizing managed care plans with capitation and selective contracting, focusing on high-cost populations including dual eligible beneficiaries and high-risk pregnancies

• Creates new provider payment structure limiting Medicaid payments to 100% of Medicare rates for primary care procedure codes and 90% of Medicare rates for all other procedure codes, subject to legislative appropriation approval

• Implements nursing facility and intermediate care facility assessment programs to generate federal matching funds for Medicaid payments, with assessment rates not exceeding the maximum percentage allowed under federal law of total net patient service revenue

• Expands Medicaid benefits for eligible populations including mental health services from accredited providers, home and community-based services for individuals with disabilities, and long-term care services, while allowing copayments within federal limits