Department of Medical Assistance Services (602)
Request Title | Medicaid Appeals |
Biennium | 2016-2018 |
Budget Round | Amended Bill |
Half Sheet Number | 306 #22c |
Description
This amendment adds language regarding the Medicaid appeals process to: (i) amend regulations to clarify that the informal appeals agent shall have the ability to close an informal appeal based on settlement between the parties up to $250,000; (ii) direct the agency to convene a workgroup to develop a plan to avoid or adjust retractions of Medicaid payments for non-material breaches of the Provider Participation Agreement when the provider has substantially complied with it; and (iii) require the agency to report on the status of the plan to avoid retractions to the Chairmen of House Appropriations and Senate Finance Committees. |
Funding Details
By Program | Program Code | Program Title | FY 2016 | FY 2017 |
By Fund | Fund Code | Fund Title | FY 2016 | FY 2017 |
Authorized Position Details
By Program | Program Code | Program Title | FY 2016 | FY 2017 |
p3_opview - Official Enacted Budget View Operating Bullet Details - 06-07-2025 07:17:02