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MS HB250
Bill
Status
1/31/2023
Primary Sponsor
Rob Roberson
Click for details
AI Summary
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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
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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
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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
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Amends Section 43-13-117 regarding managed care credentialing processes and Section 43-13-121 regarding division enforcement powers
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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