SB 310-1_ Filed 01/31/2001, 14:35

SENATE MOTION


MR. PRESIDENT:

    I move
that Senate Bill 310 be amended to read as follows:

SOURCE: Page 1, line 14; (01)MO031003.1. -->     Page 1, line 14, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code to which this subsection refers:".
    Page 2, between lines 21 and 22, begin a new paragraph and insert:
    " (e) An administrator shall pay a claim submitted by a provider for services that are covered under a health care plan under the version of the diagnostic or procedure code used by the provider to submit the claim for payment.".
    Page 2, line 26, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code to which this subsection refers:".
    Page 3, between lines 7 and 8, begin a new paragraph and insert:
    " (c) The office shall pay a claim submitted by a provider for services that are covered under the Medicaid program under the version of the diagnostic or procedure code used by the provider to submit the claim for payment.
    (d) Not less than thirty (30) days before the effective date of an updated version of the current procedural terminology (CPT) and international classification of disease (ICD) codes,
the office shall transmit electronically the updated codes to all:
        (1) providers of health care services; and
        (2) health maintenance organizations;
that participate in Medicaid under this article.
".
    Page 3, line 10, delete "On January 1 of each year:" and insert " (a) Not more than ninety (90) days after the effective date of a diagnostic or procedure code to which this subsection refers:".
    Page 3, between lines 34 and 35, begin a new paragraph and insert:
    " (b) The association shall pay a claim submitted by a provider for services that are covered under an association policy under the

version of the diagnostic or procedure code used by the provider to submit the claim for payment.".
    Page 4, line 13, delete "On January 1 of each year:" and insert " (a) Not more than ninety (90) days after the effective date of a diagnostic or procedure code to which this subsection refers:".
    Page 4, line 25, delete ";" and insert " or a worker's compensation policy;".
    Page 4, line 39, delete "." and insert " or a worker's compensation policy.".
    Page 4, between lines 39 and 40, begin a new paragraph and insert:
    " (b) An insurer shall pay a claim submitted by a provider for services that are covered under an accident and sickness insurance policy or a worker's compensation policy under the version of the diagnostic or procedure code used by the provider to submit the claim for payment.".
    Page 5, line 2, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code to which this section refers:".
    Page 5, after line 30, begin a new paragraph and insert:
    " Sec. 2. A health maintenance organization and a limited service health maintenance organization shall pay a claim submitted by a provider for services that are covered under an individual contract or a group contract under the version of the diagnostic or procedure code used by the provider to submit the claim for payment.".
    (Reference is to SB 310 as printed January 26, 2001.)

________________________________________

Senator MILLER


MO031003/DI 98     2001