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Senate Bill 0455


Senate Bill 0455

ARCHIVE (2000)

Latest Information

 

DIGEST OF SB 455 (Updated March 3, 2000 9:57 PM - DI 88)


Disproportionate share providers. Requires the office of Medicaid policy and planning's (OMPP) managed care contractor to consider disproportionate share hospitals in East Chicago and Gary as contracted providers in the Medicaid managed care program to provide medical services to certain individuals. Provides that neither OMPP nor its managed care contractor may provide incentives or mandates to influence primary medical providers to direct individuals to hospitals located anywhere other than the city where the individual resides. Establishes reimbursement procedures for certain disproportionate share hospitals that do not have a contract with OMPP's managed care contractor but that previously contracted to provide medical services under OMPP's managed care program. Establishes procedures for resolving a disputed claim for reimbursement between certain disproportionate share hospitals and the office's managed care contractor. Requires that a contract entered into by certain disproportionate share hospitals with the office's managed care contractor to provide medical services under the office's managed care program must contain a dispute resolution procedure that includes certain provisions, including arbitration, to resolve all disputed claims for reimbursement between the hospital and the managed care contractor.
    Current Status:
     Law Enacted
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