Introduced Version






HOUSE BILL No. 1791

_____


DIGEST OF INTRODUCED BILL



Citations Affected: None (noncode).

Synopsis: Reimbursement for emergency room physicians. Requires the office of Medicaid policy and planning and a managed care organization that has contracted with the office to reimburse at specified rates for certain emergency room services.

Effective: January 1, 2008.





Brown T




    January 26, 2007, read first time and referred to Committee on Public Health.







Introduced

First Regular Session 115th General Assembly (2007)


PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2006 Regular Session of the General Assembly.

HOUSE BILL No. 1791



    A BILL FOR AN ACT concerning Medicaid.

Be it enacted by the General Assembly of the State of Indiana:

SOURCE: ; (07)IN1791.1.1. -->     SECTION 1. [EFFECTIVE JANUARY 1, 2008] (a) As used in this SECTION, "office" refers to the office of Medicaid policy and planning established by IC 12-8-6-1.
    (b) The office or a managed care organization that has contracted with the office to provide coverage for Medicaid recipients shall reimburse a physician at:
        (1) a rate of one hundred percent (100%) of rates payable under the Medicaid fee structure; or
        (2) a contractually agreed upon rate between the physician and the managed care organization;
for professional emergency physician screening services provided under current procedural terminology (CPT) codes 99281 through 99283.
    (c) The office may adopt rules under IC 4-22-2 to provide reimbursement for screening services provided in an emergency department of a hospital licensed under IC 16-21 that are not a covered service as of January 1, 2008.
    (d) This SECTION expires December 31, 2008.