Proyectos de ley › 89.ª Asamblea General
Relating to claims incorrectly denied or underpaid by Medicaid managed care organizations
Dónde está ahora
- Hecho: Presentado19 de enero de 2022
- Hecho: Subcomité24 de enero de 2022
- Se detuvo: Comité del SenadoMurió al terminar la Asamblea General
- Sigue: Lo aprueba el Senado
- Sigue: Comité de la Cámara
- Sigue: Lo aprueba la Cámara
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Murió al terminar la sesión La sesión de 2022 terminó el 24 de mayo de 2022, la última sesión ordinaria de la Asamblea General. Los proyectos que no pasaron por ambas cámaras murieron. ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA 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. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
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
Cabildeo
12 a favor · 2 en contra · 5 indecisos · Quiénes →