HB 898 Summary

• Extends the repeal date of Medicaid coverage provisions from June 30, 2018 to July 1, 2021.

• Requires the Division of Medicaid to develop a hospital readmissions reduction program and allows rural hospitals with 50 or fewer beds to choose reimbursement at 101% of Medicare rates instead of using APC methodology.

• Removes or modifies various Medicaid service limits including deletion of annual physician visit caps, home health visit limits, and monthly prescription limits; reduces annual home leave days for nursing facilities from 52 to 42 days and intermediate care facilities from 84 to 63 days.

• Authorizes coverage of medication-assisted treatment for opioid and other highly addictive substance use disorders, allows pharmacy administration of vaccines to beneficiaries ages 10-18, and permits obstetricians/gynecologists to be reimbursed at 100% of Medicare rates for primary care services.

• Terminates existing managed care contracts effective July 1, 2019 and requires the division to issue a request for proposals to select at least three new managed care entities; establishes a three-year pilot program for alternative managed care payment models for medically complex children.