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IN HB1543
Bill
Status
5/1/2019
Primary Sponsor
Cindy Kirchhofer
Click for details
AI Summary
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Requires Medicaid to cover inpatient detoxification for opioid or alcohol dependence when determined medically necessary by the treatment plan, effective July 1, 2019
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Mandates that inpatient detoxification services follow the most current edition of the American Society of Addiction Medicine Patient Placement Criteria
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Removes previous alternative allowing "other clinical criteria" determined by the office, standardizing the criteria to ASAM guidelines only
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Requires managed care organizations to report compliance with addiction treatment coverage requirements
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Authorizes the office to withhold capitation reimbursement from managed care organizations that fail to provide required addiction treatment coverage
Legislative Description
Inpatient addiction treatment. Provides that when determined by the treatment plan to be medically necessary, the office of Medicaid policy and planning shall provide coverage for inpatient detoxification using the American Society of Addiction Medicine Patient Placement Criteria.
Last Action
Public Law 179
5/1/2019