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IN SB0468
Bill
Status
1/12/2017
Primary Sponsor
Vaneta Becker
Click for details
AI Summary
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Office of Medicaid Policy and Planning must move recipients approved for hospice services from the Medicaid risk-based managed care program to the Medicaid fee for service program without loss of coverage during transition.
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Office shall reimburse hospice providers through the Medicaid fee for service program for all covered hospice services provided to affected recipients.
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Medicaid recipients receiving hospice services remain in the fee for service program for the duration of their Medicaid eligibility.
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Hospice payments must be determined using a prospective payment rate that is reasonable and adequate to cover costs of efficiently operated programs complying with state and federal laws and quality standards.
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Effective date: July 1, 2017.
Legislative Description
Hospices and Medicaid. Requires the office of Medicaid policy and planning (office) to move a recipient who participates in the Medicaid risk based managed care program to the Medicaid fee for service program if the recipient is approved to receive hospice services without losing Medicaid coverage. Requires the office to reimburse the hospice provider through the fee for service program. Specifies that the Medicaid recipient remains in the fee for service Medicaid program through the recipient's Medicaid eligibility.
Last Action
First reading: referred to Committee on Health and Provider Services
1/12/2017