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House Bill 1871


 

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House Bill 1871

ARCHIVE (2001)

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DIGEST OF HB1871 (Updated April 3, 2001 2:37 PM - DI 84)

Medicaid and certain hospitals. Exempts certain Medicaid managed care contractors from specified statutory provisions. Removes December 31, 2000, expiration date of provisions that: (1) require a Medicaid managed care contractor to regard a hospital as a contracted provider which provides services to certain patients under a capitated prepayment managed care system; (2) prohibit a Medicaid managed care contractor from providing incentives or mandates to primary medical providers to direct certain Medicaid recipients to contracted hospitals other than a hospital in a city where the recipient resides, with certain exceptions; and (3) require certain Medicaid hospitals to comply with eligibility verification and medical management programs negotiated under the hospital's most recent contract or agreement with the Medicaid managed care contractor. Establishes, through 2002, reimbursement rates for a hospital that does not have a contract with the office of Medicaid policy and planning's managed care contractor but has previously contracted to provide services under the Medicaid managed care program. Prohibits providing certain hospitals less reimbursement when the patient was referred to a hospital in the city where the patient resides. Prohibits certain hospitals from declining nonemergency services to an individual in the Medicaid risk based program. (The introduced version of this bill was prepared by the interim study committee on Medicaid oversight.)
Current Status:
 Law Enacted
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