2013 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Watkins
Co-Patron(s): Hanger, Howell, Vogel
Reimbursement of Emergency Room Claims

Item 307 #5s

Item 307 #5s

First Year - FY2013 Second Year - FY2014
Health And Human Resources
Medical Assistance Services, Department of FY2013 $0 FY2014 $430,000 GF
FY2013 $0 FY2014 $430,000 NGF

Page 263, line 15, strike "$8,033,837,513" and insert "$8,034,697,513".
Page 280, after line 14, insert:  
"JJJJ.  Effective July 1, 2013, the Department of Medical Assistance Services shall not reduce physician fees.  Specifically, the Department will no longer pend and reduce reimbursement for 99283 codes.  The department shall have the authority to implement this reimbursement change prior to the completion of any regulatory process undertaken in order to effect such change."

(This amendment provides funding in the second year and adds language to offset savings assumed in the Department of Medical Assistance Services budget from pending and reducing payment for claims from emergency room physicians who treat Medicaid recipients when a retrospective review determines that the individuals could have received care in an outpatient setting. Emergency room physicians have no choice in treating individuals who present in emergency rooms and must do so as required by federal law. Reducing payment for certain "non-emergency" Medicaid claims places an unreasonable financial burden on these providers.)