2015 Session

Budget Amendments - HB1400 (Committee Approved)

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Amend MCO Contracts-Conform to HB 1942 for Prior Authorization (language only)

Item 301 #9h

Item 301 #9h

Health and Human Resources
Medical Assistance Services, Department of

Page 281, after line 10, insert:
"OOOO.  The Department of Medical Assistance Services (DMAS) shall amend its July 1, 2016, managed care contracts in order to conform to the requirement pursuant to House Bill 1942 for prior authorization of drug benefits.  The Department shall report the necessary amendments to the Chairmen of the House Appropriations and Senate Finance Committees by December 1, 2015."

(This amendment adds language directing the Department of Medical Assistance Services (DMAS) to conform its managed care contracts to the provisions in House Bill 1942, which simplifies, streamlines and applies consistency to the prior authorization process used drug benefits that is required by carriers in health insurance provider contracts. Language requires DMAS to report on such changes by December 1, 2015.)