HB 1275 Summary

• Extends the automatic repealer date on Mississippi's Medicaid services statute from July 1, 2014 to July 1, 2016.

• Eliminates the six-visit limit on emergency room services covered under Medicaid while maintaining other service limitations.

• Directs the Division of Medicaid to update reimbursement systems for nursing facilities, intermediate care facilities for individuals with intellectual disabilities, and psychiatric residential treatment facilities by January 1, 2015.

• Authorizes Medicare Upper Payment Limits (UPL) programs for physicians employed by public hospitals and allows the Division to extend certain contracts without formal requests for proposals.

• Extends hospital assessment provisions and establishes that Medicaid managed care enrollment shall be limited to the greater of 45% of total Medicaid beneficiaries or specific beneficiary categories as of January 1, 2014, plus beneficiaries under 19 years of age.