25RS HB 785

House Bill 785

Actions

Last Action	02/19/25: to Committee on Committees (H)
Title	AN ACT relating to the Medicaid program.
Bill Documents	Introduced
Bill Request Number	1573
Sponsor	K. Moser
Summary of Original Version	Create new sections of KRS 205 to define terms; established limitations on material changes to contracts between Medicaid managed care organizations and Medicaid-participating providers; require contracts between the Department for Medicaid Services and a managed care organization to comply with federal laws related to mental health parity; require behavioral health programs to be accredited and narcotic treatment programs to be licensed in order to be eligible for Medicaid reimbursement; amend KRS 205.522 to require the Department for Medicaid Services and managed care organizations to comply with KRS 304.17A-661 related to treatment of mental health conditions and 304.17A-700 to 304.171A-730 related to payment of claims; require managed care organizations to provide a description of reasons for denial when payment of a claim is denied; amend KRS 304.38.130 to authorize the commissioner of the Department of Insurance to suspend or revoke a Medicaid managed care organization's certificate of authority for willful or frequent and repeated failure to comply with Section 1 of this Act, 42 U.S.C. sec. 1396u-2, or 42 C.F.R. pt. 438 Subpart K.
Index Headings of Original Version	Mental Health - Behavioral health and substance use disorder treatment, parity, requirement Mental Health - Chemical dependency treatment program, accreditation, Medicaid reimbursement, requirement Public Medical Assistance - Behavioral health and substance use disorder treatment, parity, requirement Public Medical Assistance - Chemical dependency treatment program, accreditation, Medicaid reimbursement, requirement Public Medical Assistance - Managed care organization provider contracts, material changes, limitations, establishment Public Medical Assistance - Managed care organization, certificate of authority, revocation or suspension, authorization State Agencies - Cabinet for Health and Family Services, administrative regulations, substance use treatment programs State Agencies - Department of Insurance, certificate of authority managed care, revocation or suspension, authorized Substance Abuse - Behavioral health and substance use disorder treatment, parity, requirement Substance Abuse - Narcotic treatment program, licensing, Medicaid reimbursement, requirement Medicaid - Behavioral health and substance use disorder treatment, parity, requirement Medicaid - Chemical dependency treatment program, accreditation, Medicaid reimbursement, requirement Medicaid - Managed care organization provider contracts, material changes, limitations, establishment Medicaid - Managed care organization, certificate of authority, revocation or suspension, authorization Administrative Regulations and Proceedings - Cabinet for Health and Family Services, accreditation and licensing, substance use treatment