Bills › 89th General Assembly
Relating to claims incorrectly denied or underpaid by Medicaid managed care organizations
Where it is now
- Done: IntroducedJanuary 19, 2022
- Done: SubcommitteeJanuary 24, 2022
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: House committee
- Next: Passes the House
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2022 session adjourned on May 24, 2022, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary If a Medicaid provider is underpaid or has a claim wrongly denied, the managed care organization must pay them the money they are owed plus interest. This interest is calculated based on how many days have passed since the claim was first submitted. The state's human resources department will make sure these payments are part of the contracts with these organizations.1
Read the official explanation
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. It hasn’t reported yet.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Lobbying
12 for · 2 against · 5 undecided · Who →