HB 1064 Indiana House · 2020 Regular Session

Medicaid reimbursement of DME.

Summary
Specifies Medicaid reimbursement rates that are required of the office of the secretary of family and social services (office) and a managed care organization for durable and home medical equipment and supplies, prosthetics, orthotics, and services. Requires the office and a managed care organization to cover the same: (1) health care codes; (2) scope and quantities of certain items; and (3) time frames for submissions of claims and discrepancies; as under the Medicaid program. Specifies that if the office fails to correctly process a clean claim in the specified time requirements, the office may not claim that the provider failed to meet the time requirements for submission of the clean claim. Repeals language that specifies that Medicaid law is controlling when Medicaid law conflicts with insurance law.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2020
Committee Review
Floor Vote
Governor
Introduced Jan 16, 2020 Last action Jan 16, 2020
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1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
RB
Ronald Bacon
RRepublican
IN
75