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Senate Bill 0566


Senate Bill 0566

ARCHIVE (2007)

Latest Information

 

DIGEST OF SB 566 (Updated April 28, 2007 4:36 pm - DI 77)


Health care services and Medicaid. Requires an insurer to accept a Medicaid claim for services provided a Medicaid recipient for three years after the date the service was provided. Specifies the circumstances in which a Medicaid claim may not be denied by an insurer. States that notice requirements may be satisfied by electronic or mail submission (current law provides only for certified or registered mail). Requires an insurer to accept the state's right of recovery and assignment of certain rights as required by federal law. Adds certain less restrictive settings to the definition of children's psychiatric residential treatment services. Requires OMPP to conduct a study of Medicaid claims eligible for payment by a third party. Provides that if the study by OMPP reveals a percentage of at least 1%, OMPP shall implement an automated procedure for determining whether a Medicaid claim is eligible for payment by a third party before payment. Allows OMPP to implement a change in the office's maximum allowable cost schedule for prescription drugs 30 days after OMPP posts the changes on OMPP's Internet web site. (Current law requires 45 days before the change may be effective). Allows a pharmacy to determine not to participate in the Medicaid program as a result of a change in the schedule if the pharmacy notifies the office within 30 days of the change in the schedule taking effect. Changes the way charges are set at state mental health institutions. Repeals provisions concerning the per capita cost of treatment at state mental health institutions and the per capita cost of outpatient services.
    Current Status:
     Law Enacted
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