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Senate Bill 153

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Last Action	03/11/25: to Health Services (H)
Title	AN ACT relating to prepayment review of Medicaid claims.
Bill Documents	Current Introduced
Bill Request Number	1558
Sponsors	C. Richardson, D. Carroll, D. Douglas, S. Meredith, P. Wheeler
Summary of Original Version	Create a new section of KRS Chapter 205 to define terms and to establish standards for the utilization of prepayment claims review in the Medicaid program; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if they determine that such approval is necessary and comply with KRS 205.525.
Index Headings of Original Version	Physicians and Practitioners - Medicaid managed care, utilization of prepayment claims review, limitations, establishment Public Medical Assistance - Managed care organizations, prepayment claims review standards, establishment Medicaid - Managed care organizations, prepayment claims review standards, establishment Administrative Regulations and Proceedings - Department for Medicaid Services, prepayment claims review
Jump to Proposed Amendments	Senate Committee Substitute 1 Senate Floor Amendment 1
Votes	Vote History

Actions

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02/13/25	introduced in Senate to Committee on Committees (S)
02/18/25	to Health Services (S)
02/26/25	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/27/25	2nd reading, to Rules
02/28/25	posted for passage in the Regular Orders of the Day for Tuesday, March 04, 2025
03/04/25	passed over and retained in the Orders of the Day floor amendment (1) filed to Committee Substitute
03/05/25	3rd reading, passed 37-0-1 with Committee Substitute (1) and Floor Amendment (1)
03/06/25	received in House to Committee on Committees (H)
03/11/25	to Health Services (H)

Proposed Amendments

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Amendment	Senate Committee Substitute 1
Summary	Retain original provisions, except delete provisions related to the timeframe for which a Medicaid-enrolled provider may be subject to prepayment claims review.
Index Headings	Physicians and Practitioners - Medicaid managed care, utilization of prepayment claims review, limitations, establishment Public Medical Assistance - Managed care organizations, prepayment claims review standards, establishment Medicaid - Managed care organizations, prepayment claims review standards, establishment Administrative Regulations and Proceedings - Department for Medicaid Services, prepayment claims review

Amendment	Senate Floor Amendment 1
Sponsor	C. Richardson
Summary	Retain original provisions and establish that requirements for prepayment claims review shall only be enforceable to the extent permitted under federal law and shall not apply to a Medicaid-enrolled provider who has been placed on a stand-down list by the Medicaid Fraud Control Unit or the Attorney General.
Index Headings	Attorney General - Medicaid prepayment claims review, stand-down list exception, establishment Medicaid - Prepayment claims review, stand-down list exception, establishment

Last updated: 3/11/2025 9:25 PM (EDT)