Nonemergency transportation program; require PEER Committee to evaluate performance of two years after each new contract implementation.
What changed between versions
Requires the PEER Committee to conduct performance evaluations of the nonemergency transportation program every two years after each new contract implementation date, with the first evaluation due by January 1, 2019.
Establishes a Mississippi Hospital Access Program (MHAP) to replace the Medicare Upper Payment Limits Program, with implementation required by December 1, 2015.
Creates new requirements for managed care organizations including uniform provider credentialing processes, standardized denial appeals, and reporting on administrative expenses and employee numbers.
Requires managed care organizations to implement preferred drug lists more stringent than the state's mandatory list and prohibits denial of hemophilia patients access to federally funded treatment centers.
Establishes new protections for patients with terminal conditions, ensuring Medicaid benefits do not restrict coverage for medically appropriate treatment.
Creates a James Russell Dumas Medicaid Dental Services Incentive Program to increase reimbursement rates for dental services and track dentist participation in Medicaid.
Requires the Division of Medicaid to provide information to Medicaid providers about prescription drug costs and alternatives, while keeping this information confidential.
Updates reimbursement methodologies including APR-DRG for inpatient hospital services and APC for outpatient services, with special provisions for rural hospitals with 50 or fewer beds.
Adds new covered services including smoking cessation medications for pregnant women, pediatric extended care centers for medically dependent children, and enhanced dental services reimbursement increases for 2022-2025.
Sets various implementation dates including July 1, 2025 for the act's effectiveness, July 1, 2024 for repeal of border city pediatric hospital provisions, and July 1, 2028 for repeal of the entire section.