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MS HB250

Bill

Status

Failed

1/31/2023

Primary Sponsor

Rob Roberson

Click for details

Origin

House of Representatives

2023 Regular Session

AI Summary

  • Allows providers in Medicaid managed care organizations who have applied for credentialing (and have not been previously denied) to have their work signed off by their direct on-site supervisor while awaiting credentialing decisions, enabling reimbursement for that supervised work

  • Prohibits the Division of Medicaid from suspending reimbursement payments to a provider during the appeals process after the division determines the provider violated Medicaid law

  • Exception to the payment suspension prohibition applies to providers (or their agents, managing employees, or 5%+ owners) who have previously been convicted of Medicaid fraud

  • Amends Section 43-13-117 regarding managed care credentialing processes and Section 43-13-121 regarding division enforcement powers

  • Takes effect July 1, 2023

Legislative Description

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

Last Action

Died In Committee

1/31/2023

Committee Referrals

Medicaid1/5/2023

Full Bill Text

No bill text available