SF 2065: Relating to claims incorrectly denied or underpaid by Medicaid managed care organizations

What it does

This bill requires the department of human resources to contractually require that if a claim submitted by a Medicaid provider is ultimately found to be incorrectly denied or underpaid through an appeals process or audit, a managed care organization (MCO) shall pay a Medicaid provider claimant, in addition to the amount owed, an interest payment based on the amount owed and the number of days that have elapsed since the claim was submitted ranging from a rate of to percent per annum.

Senate subcommittee · named January 24, 2022

• Sen. Julian B. Garrett (R)
• Sen. Jeff Edler (R)
• Sen. Amanda Ragan (D)

Lobbying · 12 for, 2 against

For: CHILDSERVE; Epilepsy Foundation Iowa; EveryStep; Hills and Dales; IA Mental Health Planning Council; Iowa Association of Community Providers; Iowa Independent Physician Group; Iowa School Mental Health Alliance; Medical Associates Clinic and Health Plan; Please Pass the Love; Systems Unlimited, Inc.; The Iowa Clinic, P.C.

Against: Elevance Health, and its Affiliates dba Anthem, Inc.; Iowa Total Care, A Subsidiary of Centene Corporation

In plain words

1. January 19, 2022Filed in the Senate and sent to the Human Resources committee
2. January 24, 2022Senate subcommittee named: Garrett, Edler and Ragan