25RS HB 687

House Bill 687

Actions

Last Action	02/18/25: to Committee on Committees (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