Requires Rhode Island Medicaid to cover services provided by licensed certified professional midwives and to collect utilization and cost data, while allowing limits consistent with Medicaid rules.
Provides that services provided by graduate student interns who work under a supervisory protocol would be eligible to be paid from Medicaid reimbursement.
Requires Medicaid to provide coverage for fertility medication, care, and services, for at least 3 cycles of fertility treatment, and intrauterine insemination.
Requires Medicaid to cover services by licensed certified lactation counselors and EOHHS to oversee and implement the program and track related costs and use. It also ensures reimbursement consistent with similar providers.
Requires the EOHHS to amend the state Medicaid plan and secure sufficient state general revenue to increase Medicaid payment rates to an amount equal to one hundred thirty percent (130%) of Medicare rates for outpatient clinical pediatric services.
HB 7837 allows dental hygienists working in public-health settings - such as schools, nursing homes, and community health centers - to receive reimbursement from insurance companies or Medicare, not just Medicaid. Currently, these hygienists could only be paid by Medicaid or state healthcare programs, but the bill removes that restriction. This change expands payment options for preventive dental services provided in community settings without altering the requirement for a written agreement with a dentist or patient consent forms. The bill directly affects dental hygienists and public-health facilities by enabling broader insurance coverage for their services.
Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).
Establishes the Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers.
Requires that reimbursement rates for licensed mobile response and stabilization services be equal to or greater than the prevailing integrated state Medicaid rate for mobile response and stabilizations services as established by EOHHS.
Requires Medicaid to provide coverage for fertility medication, care, and services, for at least 3 cycles of fertility treatment, and intrauterine insemination.