| Last Action | 02/26/25: to Banking & Insurance (H) |
|---|---|
| Title | AN ACT relating to third-party payors. |
| Bill Documents | Introduced |
| Fiscal Impact Statements |
Actuarial Analysis
Health Mandate Local Mandate State Employee Health Plan Impact |
| Bill Request Number | 947 |
| Sponsor | K. Moser |
| Summary of Original Version | Create a new section of KRS Chapter 205 to define terms; establish payment and response requirements for third-party payors; amend KRS 205.623 to require third-party payors to respond within 60 days of certain health care claim inquiries from the Department for Medicaid Services; create a new section of KRS Chapter 18A, and amend KRS 205.532 and 304.12-255, to require the state employee health plan, affiliated and associated entities of Medicaid managed care organizations, and health insurers to comply with third-party payor requirements. |
| Index Headings of Original Version |
Federal Laws and Regulations - Third-party payors, Medicaid claims, payment and response requirements Insurance, Health - Third-party payors, Medicaid claims, payment and response requirements Public Medical Assistance - Third-party payors, payment and response requirements State Agencies - Department for Medicaid Services, third-party payor claims and inquiries State Employees - Health plan, third-party payors, Medicaid claims, payment and response requirements Medicaid - Medicaid managed care contracts, third-party payors, requirements Medicaid - Third-party payors, payment and response requirements Claims - Medicaid, third-party payors, payment and response requirements Actuarial Analysis - Medicaid managed care contracts, third-party payors, requirements Health Benefit Plan Mandate - Medicaid managed care contracts, third-party payors, requirements Local Mandate - Third-party payors, payment and response requirements |
| 02/18/25 |
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|---|---|
| 02/26/25 |
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Last updated: 7/24/2025 3:26 PM (EDT)