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NC H573
Bill
Status
4/5/2023
Primary Sponsor
Donna White
Click for details
AI Summary
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Department of Health and Human Services, Division of Health Benefits shall set reimbursement rates for new services at ambulatory surgical centers at 95% of the Medicare Ambulatory Surgical Centers fee schedule, effective January 1 of each year.
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Healthcare Common Procedure Coding System (HCPCS) procedure code G0330 shall be reimbursed at 95% of the Medicare Part B Hospital Outpatient Prospective Payment System (OPPS) rate effective July 1, 2023, with annual updates starting January 1, 2024.
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Procedure code G0330 is classified as a surgical procedure rather than a traditional dental procedure, requiring all standard benefit plans and BH IDD tailored plans to provide coverage.
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$500,000 in recurring General Fund appropriations for each year of the 2023-2025 fiscal biennium shall provide state match funding for $950,000 in recurring federal funds for implementation.
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The act becomes effective upon enactment.
Legislative Description
Fair Medicaid ASC Reimbursements
Health; Medicaid; Poverty; Public; Social Services
Last Action
Ref to the Com on Health, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House
4/6/2023