HB1026 - Medicaid; make various technical amendments to the program.

1 Co-Sponsor

An Act To Amend Section 43-13-115, Mississippi Code Of 1972, To Allow The Family Planning Waiver Program Under The Medicaid Program To Be Conducted Under A Waiver Or The State Plan; To Provide That Children In State Custody Who Are In Foster Care On Their Eighteenth Birthday Shall Be Medicaid Eligible Until Their Twenty-sixth Birthday; To Provide That Children Who Have Aged Out Of Foster Care While On Medicaid In Other States Shall Qualify Until Their Twenty-sixth Birthday; To Amend Section 43-13-117, Mississippi Code Of 1972, To Direct The Division Of Medicaid To Update The Case-mix Payment System Fair Rental Reimbursement System For Nursing Facility Services As Necessary To Maintain Compliance With Federal Law; To Provide That The Division Shall Reimburse Ambulance Service Providers That Provide An Assessment, Triage, Treatment Or Transportation For Eligible Medicaid Beneficiaries To An Alternative Destination In This State Or Provide An Assessment Or Treat Eligible Medicaid Beneficiaries In Place; To Delete The Legislative Intent For The Division To Encourage The Use Of Alpha Hydroxyprogesterone Caproate To Prevent Recurrent Preterm Births; To Authorize Contraceptives To Be Prescribed And Dispensed In Twelve-month Supply Increments Under Family Planning Services; To Update And Clarify Language About The Division's Transition From The Medicare Upper Payments Limits (upl) Program To The Mississippi Hospital Access Program (mhap); To Authorize The Division To Establish A Medicare Upper Payment Limits Program For Other Eligible Licensed Providers As Determined By The Division; To Provide That Supplemental Payments To A Hospital Shall Not Decrease By More Than Five Percent When Compared To A Hospital's Prior Year Payment; To Provide That The Division Shall Not Substantially Change The Methodologies Used To Calculate A Hospital's Supplemental Payment; To Require That Populations Eligible For Receiving Perinatal Risk Management Services From Managed Care Organizations Receive The Services From The Managed Care Organizations Instead Of Using The Services At The State Department Of Health; To Authorize The Division To Reimburse Certified Community Behavioral Health Centers In A Manner Determined By The Division; To Extend The Date Of The Repealer On Medicaid Reimbursement For A Border City University-affiliated Pediatric Teaching Hospital; To Extend The Date Of The Repealer On This Section; To Amend Section 43-13-145, Mississippi Code Of 1972, To Provide That A Hospital Assessment May Exceed The Assessment In The Previous Quarter By More Than The Specified Limit When Such Increase Is To Maximize Federal Funds That Are Available To Reimburse Hospitals For Services Provided Under New Programs For Hospitals, Increased Supplemental Payment Programs For Hospitals Or To Assist With State Matching Funds As Authorized By The Legislature; To Provide That State-owned Acute Care Hospital Shall Submit An Intergovernmental Transfer (igt) To The State Of Mississippi To Fund The Nonfederal Share Of That Hospital's Supplemental Payments; To Provide That The Hospital's Supplemental Payment Shall Not Be Included In The Assessment For The Nonfederal Share For Which Other Hospitals Are Assessed; To Extend The Date Of The Repealer On This Section; To Amend Section 43-13-305, Mississippi Code Of 1972, To Provide That When A Third-party Payor Requires Prior Authorization For An Item Or Service Furnished To A Medicaid Recipient, The Payor Shall Accept Authorization Provided By The Division Of Medicaid That The Item Or Service Is Covered Under The State Plan As If Such Authorization Were The Prior Authorization Made By The Third-party Payor For Such Item Or Service; And For Related Purposes.