Modifies provisions relating to administrative remedies in MO HealthNet cases
HB 1223 modifies Missouri Medicaid (MO HealthNet) appeal processes to clarify timelines and procedures for recipients and providers. It requires divisions to notify beneficiaries of appeal rights within 10 days of proposed benefit changes, and provides a 90-day window for appeals after case closures. Benefits must continue at prior levels during appeals unless the recipient requests otherwise, and all appeals must include a fair hearing with documented evidence. This directly affects Medicaid recipients denied services, providers denied reimbursement, and agencies administering MO HealthNet.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025
Last action May 15, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
3
Key actions
0
Committee
1
May 15, 2025
Committee
Referred: Emerging Issues(H)
lower
Feb 6, 2025
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Tara Peters
RRepublican
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