2019 Session

Budget Amendments - HB1700 (Conference Report)

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Increase Certain Physician Rates to 70 Percent of Medicare Rates

Item 303 #9c

Item 303 #9c

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $0 FY2020 $4,185,199 GF
FY2019 $0 FY2020 $11,060,494 NGF

Page 315, line 7, strike "$14,974,837,166" and insert "$14,990,082,859".

Page 342, after line 27, insert:

"YYY. Effective July 1, 2019, the Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to increase the practitioner rates for primary care services by five percent and rates for Emergency Department services by one percent to reflect the equivalent of 70 percent of the 2018 Medicare rates. The department shall ensure through its contracts with managed care organizations that the rate increase is reflected in their rates to providers.  The department shall have the authority to implement these reimbursement changes prior to the completion of the regulatory process."


(This amendment provides $4.1 million from the general fund and $11.1 million from federal Medicaid matching funds in the second year to increase Medicaid reimbursement to 70 percent of the equivalent Medicare fee for service and managed care rates to primary care physicians and specialists who are currently reimbursed less than 70 percent of Medicare rates. It is the intent of the General Assembly that in the enrolling of this act, funding included in this item shall be allocated among appropriate items within the Department of Medical Assistance Services.)