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IN HB1171

Bill

Status

Passed

5/16/2011

Primary Sponsor

Peggy Welch

Click for details

Origin

House of Representatives

2011 Regular Session

AI Summary

  • Requires the state Medicaid office and its contractors to operate a single electronic eligibility verification system by January 1, 2012, to determine whether an individual is participating in the Medicaid program

  • Updates acceptable Medicaid claim forms from HCFA-1500 and HCFA-1450 (UB92) to the current CMS-1500 and CMS-1450 (UB04) forms or their subsequent versions

  • Mandates that within 90 days of a new diagnostic or procedure code taking effect, the Medicaid office must begin using the most current versions of CPT, ICD, DSM, CDT, HCPCS, and TPA codes for all purposes

  • Requires healthcare providers to use the most current versions of diagnostic and procedure codes when submitting Medicaid claims within the same 90-day timeframe

  • Providers who deliver covered services after a new code takes effect but before the office adopts it must be reimbursed under the code version in effect on the date services were provided

Legislative Description

Medicaid verification and claims.

Last Action

Effective 07/01/2011

5/16/2011

Full Bill Text

No bill text available