2023 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Brewer
Restoration of Emergency Room Medicaid Reimbursements

Item 304 #31h

Item 304 #31h

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $0 FY2024 $14,459,000 GF
FY2023 $0 FY2024 $26,791,327 NGF

Page 355, line 40, strike "$22,919,178,986" and insert "$22,960,429,313".

Page 376, line 48, after "H." insert "1." and strike the remainder of the line.

Page 376, strike lines 49 through 56.

Page 377, strike line 1, and insert:

"2. The Department of Medical Assistance Services shall amend the State Plan for Medical Assistance Services to prohibit the pending, reviewing, and reducing fees for hospital emergency department claims, for both physician and hospital providers, based on final diagnosis.  The department shall not use the preventable emergency room diagnosis code list employed by the department for the Managed Care Efficiency Program as the basis for payment reductions to physician and hospital providers.  The department shall have the authority to implement this reimbursement change effective July 1, 2023, and prior to the completion of a regulatory process undertaken in order to effect such change."


(This amendment adds $14.5 million from the general fund and $26.8 million from federal Medicaid matching funds and other nongeneral funds each year the second year and eliminates language requiring that certain Medicaid claims for avoidable medical services providing emergency room settings be reimbursed at a lower amount.)