Senate Bill 2836

AN ACT RELATING TO THE MISSISSIPPI MEDICAID PROGRAM; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO EXTEND THE DATE OF THE REPEALER ON THE COMPREHENSIVE LIST OF THE TYPES OF CARE AND SERVICES COVERED BY MEDICAID; TO PROVIDE THAT RURAL HOSPITALS THAT HAVE FIFTY OR FEWER LICENSED BEDS SHALL BE GIVEN THE OPTION TO BE REIMBURSED UNDER MEDICAID FOR OUTPATIENT HOSPITAL SERVICES BASED ON 101% OF THE MEDICARE RATE FOR THOSE SERVICES INSTEAD OF USING THE AMBULATORY PAYMENT CLASSIFICATION (APC) METHODOLOGY; TO REDUCE THE ANNUAL NUMBER OF HOME LEAVE DAYS FOR PATIENTS IN NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES; TO DELETE THE ANNUAL LIMIT ON PHYSICIAN VISITS; TO AUTHORIZE THE DIVISION TO REIMBURSE OBSTETRICIANS AND GYNECOLOGISTS FOR CERTAIN PRIMARY CARE SERVICES AS DEFINED BY THE DIVISION AT 100% OF THE RATE ESTABLISHED UNDER MEDICARE; TO DELETE THE ANNUAL LIMITS ON HOME HEALTH SERVICES VISITS; TO DELETE THE RESTRICTION ON THE REIMBURSEMENT RATE FOR EMERGENCY MEDICAL TRANSPORTATION SERVICES; TO DELETE THE MONTHLY PRESCRIPTION LIMIT FOR MEDICAID BENEFICIARIES; TO DIRECT THE DIVISION TO ALLOW PHYSICIAN–ADMINISTERED DRUGS TO BE BILLED AND REIMBURSED AS EITHER A MEDICAL CLAIM OR PHARMACY POINT-OF-SALE TO ALLOW GREATER ACCESS TO CARE; TO AUTHORIZE THE DIVISION TO ENCOURAGE THE USE OF CERTAIN PRETERM BIRTH SERVICES (17P); TO PROVIDE THAT THE COVERAGE OF DENTAL AND ORTHODONTIC SERVICES WILL BE DETERMINED BY THE DIVISION; TO PROVIDE THAT CERTAIN SERVICES PROVIDED BY A PSYCHIATRIST MAY BE REIMBURSED AT UP TO 100% OF THE MEDICARE RATE; TO REVISE CERTAIN PROVISIONS OF THE MEDICARE UPPER PAYMENT LIMITS (UPL) PROGRAM AND THE MISSISSIPPI HOSPITAL ACCESS PROGRAM (MHAP); TO PROVIDE THAT FEDERALLY QUALIFIED HEALTH CENTERS PROVIDING AMBULATORY SERVICES SHALL BE REIMBURSED BY THE MEDICAID PROSPECTIVE PAYMENT SYSTEM AS APPROVED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES; TO AUTHORIZE INSTEAD OF REQUIRE THAT TARGETED CASE MANAGEMENT SERVICES FOR HIGH-COST BENEFICIARIES BE DEVELOPED FOR ALL SERVICES COVERED BY THIS SECTION; TO AUTHORIZE MEDICAID REIMBURSEMENT FOR TREATMENT FOR OPIOID DEPENDENCY AND OTHER HIGHLY ADDICTIVE SUBSTANCE USE DISORDERS; TO DIRECT THE DIVISION TO ALLOW BENEFICIARIES BETWEEN THE AGES OF TEN AND EIGHTEEN YEARS TO RECEIVE VACCINES THROUGH A PHARMACY VENUE; TO INCLUDE OUTPATIENT HOSPITAL SERVICES IN THE LIST OF SERVICES THAT ARE EXEMPT FROM THE FIVE PERCENT REDUCTION IN THE PROVIDER REIMBURSEMENT RATE; TO DIRECT THE MEDICAL CARE ADVISORY COMMITTEE TO DEVELOP RECOMMENDATIONS TO THE LEGISLATURE RELATING TO THE AUTHORITY OF THE DIVISION TO REDUCE THE RATE OF PROVIDER REIMBURSEMENT BY FIVE PERCENT; TO DELETE THE PROHIBITION ON THE DIVISION FROM MAKING CERTAIN CHANGES TO THE SERVICES AUTHORIZED UNDER THIS SECTION WITHOUT AN AMENDMENT TO THIS SECTION BY THE LEGISLATURE; TO REVISE THE ACTIONS THAT THE DIVISION MAY TAKE TO REDUCE COSTS IF CURRENT OR PROJECTED EXPENDITURES OF THE DIVISION ARE REASONABLY ANTICIPATED BY THE DIVISION TO EXCEED THE AMOUNT OF FUNDS APPROPRIATED TO THE DIVISION FOR ANY FISCAL YEAR; TO PROHIBIT THE DIVISION FROM IMPLEMENTING THE EXPANSION OF MEDICAID MANAGED CARE CONTRACTS WITHOUT ENABLING LEGISLATION; TO ESTABLISH A COMMISSION ON EXPANDING MEDICAID MANAGED CARE TO DEVELOP RECOMMENDATIONS TO THE GOVERNOR AND THE LEGISLATURE; TO PROVIDE THAT THE DIVISION AND THE CONTRACTORS PARTICIPATING IN THE MANAGED CARE PROGRAM, A COORDINATED CARE PROGRAM OR A PROVIDER-SPONSORED HEALTH PLAN SHALL BE SUBJECT TO ANNUAL PROGRAM AUDITS PERFORMED BY THE OFFICE OF THE STATE AUDITOR, THE PEER COMMITTEE AND/OR AN INDEPENDENT THIRD PARTY; TO PROHIBIT MANAGED CARE ORGANIZATIONS FROM REQUIRING THEIR PROVIDERS TO BE CREDENTIALED BY THE ORGANIZATION IN ORDER TO RECEIVE REIMBURSEMENT; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, AS AMENDED BY SENATE BILL NO. 2912, 2018 REGULAR SESSION, TO EXTEND THE AUTOMATIC REPEALER ON THE SECTION THAT PROVIDES FOR CERTAIN PROVIDER ASSESSMENTS UNDER THE MISSISSIPPI MEDICAID PROGRAM; TO REVISE CERTAIN PROVISIONS RELATING TO THE CALCULATION OF THE ASSESSMENTS; AND FOR RELATED PURPOSES.

In the Senate

• Brice Wiggins

  Sponsor

• House of Representatives committee amendmentAdopted

  Adopted Feb 22

l9n doesn't hold this bill's text yet.

In the Senate Jan 15 – Feb 6

1. Jan 15Referred to the Senate committee on Medicaid
2. Jan 29Reported from committee in the Senate: title sufficient, do pass as a committee substitute
3. Feb 6Committee substitute adopted in the Senate
4. Passed the Senate

In the House of Representatives Feb 7 – Feb 22

1. Feb 7Motion in the Senate to reconsider entered
2. Motion in the Senate to reconsider tabled
3. Sent to the House
4. Feb 19Referred to the House committee on Medicaid
5. Feb 21Reported from committee in the House: title sufficient, do pass as amended
6. Feb 22Amended in the House
7. Passed the House as amended

Back in the Senate Feb 23 – Apr 2

1. Feb 23Returned to the Senate to concur in the House's amendments
2. Mar 5Declined in the Senate to concur, and invited a conference
3. Mar 25Conferees named in the Senate: Wiggins, Burton and Clarke
4. Mar 26Conferees named in the House: Brown, White and Hood
5. Conference report filed in the Senate
6. Conference report filed in the House
7. Mar 27Conference report adopted in the Senate
8. Released in the Senate to be sent on at once
9. Conference report adopted in the House
10. Motion in the House to reconsider entered (Scott, Brown and Bomgar)
11. Mar 28Motion in the House to reconsider tabled
12. Apr 2Enrolled bill signed in the Senate

To the Governor Apr 2 – Apr 12

1. Apr 2Enrolled bill signed in the House
2. Apr 12Approved by the Governor