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OH SB137

Bill

Status

Introduced

6/16/2009

Primary Sponsor

Ray Miller

Click for details

Origin

Senate

128th General Assembly (2009-2010)

AI Summary

  • Amends Ohio's prompt payment law (sections 3901.38, 3901.383, and 3901.3814 of the Revised Code) to explicitly include Medicaid managed care organizations as "third-party payers" subject to prompt payment requirements.

  • Adds definition of "Medicaid managed care organization" as a managed care organization with a contract with the Department of Job and Family Services under section 5111.17 of the Revised Code.

  • Requires Medicaid managed care organizations to comply with prompt payment timelines for health care provider claims, including the federal requirement in 42 C.F.R. 447.46, unless a shorter timeframe is contractually agreed upon.

  • Repeals section 5111.178 of the Revised Code, which previously contained conditional language requiring a federal waiver before applying prompt payment requirements to Medicaid coverage.

  • Clarifies that application of prompt payment laws to Medicaid managed care organizations does not affect the Department of Job and Family Services' authority as the single state Medicaid agency or its contracting authority with managed care organizations.

Legislative Description

To specify that the Ohio prompt payment law applies to payment of claims by Medicaid managed care organizations for health care services provided to Medicaid managed care participants.

Ohio Prompt Payment Law-applies to claims by Medicaid managed care organizations

Last Action

To Health, Human Services, & Aging

6/16/2009

Full Bill Text

No bill text available