House Bill 361

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Last Action posted in committee
Title AN ACT relating to Medicaid managed care organization provider payments.
Bill Documents Bill
Impact Statements Fiscal Note
Bill Request Number 1423
Sponsors G. Stumbo, B. Damron, R. Huff, S. Overly, R. Quarles, A. Simpson
Summary of Original Version Amend KRS 205.522 to define terms; permit an enrollee of a medicaid managed care organization (MCO) to assign rights to appeal an action by an MCO relating to care received by an enrollee; establish an enrollee's right to a state fair hearing when an enrollee or assignee appeals an MCO's action relating to care received or proposed to be given to an enrollee; require an action by an MCO to state the reason for an action with specificity; state that the MCO shall pay for services rendered while an appeal was pending if a hearing officer reverses a decision to deny, reduce, or terminate health care services.
Index Headings of Original Version Health and Medical Services - Medicaid managed care organization, appeal rights
Hospitals and Nursing Homes - Medicaid managed care organization, appeal rights
Public Medical Assistance - Medicaid managed care organization, appeal rights
Medicaid - Medicaid managed care organization, appeal rights
Fiscal Note - Medicaid managed care organization, appeal rights

Actions

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02/10/14
  • introduced in House
02/11/14
  • to Health & Welfare (H)
03/06/14
  • posted in committee


Last updated: 1/16/2019 3:18 PM (EST)