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2019 Session

Budget Amendments - SB1100 (Committee Approved)

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Increase Certain Physician Rates to 70 Percent of Medicare Rates

Item 303 #1s

Item 303 #1s

First Year - FY2019 Second Year - FY2020
Procedures for Prepayment of Civil Penalties in an Executive Order
Department of Medical Assistance Services FY2019 $0 FY2020 $4,185,199 GF
FY2019 $0 FY2020 $11,060,494 NGF

Language
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 reimbursement rate for physician services to 70 percent of the equivalent Medicare rate, as of that date, and only for those services currently reimbursed less than 70 percent of the Medicare rate.  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 authority to implement these rate changes prior to the completion of the regulatory process."



Explanation

(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.)