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OH SB137
Bill
Status
6/16/2009
Primary Sponsor
Ray Miller
Click for details
AI Summary
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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.
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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.
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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.
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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.
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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