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GA Adjustment
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