2019 Session

Budget Amendments - SB1100 (Committee Approved)

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Implement JLARC Recommendation - Medicare Fee-for-Service (language only)

Item 390 #5s

Item 390 #5s

Public Safety and Homeland Security
Department of Corrections


Page 423, after line 41, insert:

"O. The Department of Corrections shall use the Medicare fee-for-service payment schedule to reimburse community providers of health care services (excluding inpatient care) to inmates housed in state correctional facilities. The Department of Corrections shall change its billing and reimbursement processes to accommodate using the Medicare fee-for-service payment schedule as soon as is practicable, but no later than January 1, 2020. The Department of Corrections is authorized to amend its contracts, as necessary, with its third-party claims administrator to require the contractor to use the Medicare fee-for-service fee schedule as the basis for reimbursing providers for non-inpatient services."


(This amendment requires the Department of Corrections to pay for outpatient and physicians services to community health care providers using Medicare rates.)