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OH SB25
Bill
Status
2/1/2011
Primary Sponsor
Charleta Tavares
Click for details
AI Summary
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Adds "Medicaid managed care organization" to the definition of "third-party payer" in Ohio's prompt payment law (sections 3901.38-3901.3814 of the Revised Code), making Medicaid managed care organizations subject to prompt payment requirements.
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Removes the blanket exemption for Medicaid program third-party payers, instead applying prompt payment timelines based on federal regulations (42 C.F.R. 447.46) to Medicaid managed care organizations.
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Clarifies that application of prompt payment laws to Medicaid managed care organizations does not limit the Department of Job and Family Services' authority to supervise Medicaid administration or enter into contracts with managed care organizations.
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Repeals section 5111.178 of the Revised Code (which previously authorized a federal waiver request related to Medicaid prompt payment requirements).
Legislative Description
To specify that the Ohio prompt payment law applies to payment of claims by Medicaid managed care organizations.
Ohio prompt payment law-applies to Medicaid managed care organization claims
Last Action
To Health, Human Services, & Aging
2/1/2011