2019 Session

Budget Amendments - HB1700 (Member Request)

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Chief Patron: Garrett
Physician Services Rates to 75 Percent of Medicare

Item 303 #23h

Item 303 #23h

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $0 FY2020 $40,000,000 GF
FY2019 $0 FY2020 $40,000,000 NGF

Page 315, line 7, strike "$14,974,837,166" and insert "$15,054,837,166".

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 reimbursement rate for primary care and specialty physician services to 75 percent of the equivalent Medicare rate if such service is currently reimbursed less that 75 percent of the Medicare rate.  The department shall ensure through its contracts with manged care organizations that the rate increase is reflected in their rates to providers.  The department shall have authority to implement these rate changes prior to the completion of the regulatory process."


(This amendment provides $40 million from the general fund and a like amount of federal Medicaid matching funds the second year to increase Medicaid reimbursement to 75 percent of the equivalent Medicare fee for service and managed care to primary care physicians and specialists who are currently reimbursed less than seventy-five percent of Medicare rates.)