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2024 Session

Budget Amendments - HB29 (Committee Approved)

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Align Medicaid Requirements with New Federal Rules on Third Party Liability (language only)

Item 304 #1h

Item 304 #1h

Health and Human Resources
Department of Medical Assistance Services

Language

Page 113, line 33, after "T.", insert "1."

Page 113, after line 39, insert:

"2. Liable third-party payers are barred from refusing payment for an item or service solely on the basis that such item or service did not receive prior authorization under the third-party payer's rules."



Explanation

(This amendment adds language to align Medicaid policy and rules with new federal rules regarding third party payments that will go into effect on July 1, 2024. Third party payments currently come from a number of sources, including child support orders requiring a custodial or non-custodial parent to enroll a child in a health insurance plan.)