Citations Affected: Noncode.
Synopsis: Health center cost based reimbursement. Extends for two
years a provision that: (1) adds services provided by certain federally
defined community health centers to the services that are provided
under Medicaid; (2) requires, if both the office of Medicaid policy
planning and the center agree, that each community health center
receive its total reasonable cost reimbursement rate on a per visit basis
for providing care to recipients of Medicaid; and (3) requires rural
health clinics to be reimbursed under a cost based methodology. (The
introduced version of this bill was prepared by the interim study
committee on Medicaid oversight.)
Effective: June 30, 2001.
January 11, 2001, read first time and referred to Committee on Health and Provider
February 15, 2001, amended, reported favorably _ Do Pass.
A BILL FOR AN ACT concerning Medicaid.
SECTION 1. P.L.147-1999, SECTION 1, IS AMENDED TO READ
AS FOLLOWS [EFFECTIVE JUNE 30, 2001]: (a) Except as provided
in IC 12-15-2-12, IC 12-15-6, and IC 12-15-21, the services provided
(1) federally qualified health centers (as defined in 42 U.S.C. 1396d(l)(2)); and
(2) rural health centers (as defined in 42 U.S.C. 1396d(l)(1));
are provided under Medicaid.
Each If both the office of Medicaid policy and planning and
a federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2))
agree, the federally qualified health center shall receive its total
reasonable cost reimbursement rate on a per visit basis for providing
care to recipients of Medicaid. The reimbursement described in this
subsection shall not be less than the amount the federally qualified
health center would receive under 42 U.S.C. 139a(aa)(1)-(5).
(c) Each rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)) shall be reimbursed under a cost based methodology.