Bill Text | History of Actions | Background | Title |
Description: Medicaid; amend sections on eligibility, services and facility assessments.
Bill Text: [Introduced]
| 1 | 03/13 (H) Referred To Medicaid | |
| 2 | 03/13 (H) Died In Committee |
| Effective date | Passage | |
| Disposition | Dead | |
| Deadline | None | |
| Revenue | No | |
| Vote type required | Three/Fifths |
House Committee:
Principal Author: Baker (74th)
Additional Authors: Aldridge, Carlton, Chism, Davis, Denny, Ellington, Fillingane, Formby, Gunn, Janus, Lott, Martinson, Moore, Rogers (61st), Smith (59th), Snowden, Upshaw
Code Sections: A 043-0013-0115, A 043-0013-0117, A 043-0013-0145
Title: AN ACT TO AMEND SECTION 43-13-115, MISSISSIPPI CODE OF 1972, TO DELETE FROM MEDICAID ELIGIBILITY THE CATEGORY OF CERTAIN INDIVIDUALS WHO RECEIVE HOSPICE CARE BENEFITS; TO REINSTATE MEDICAID ELIGIBILITY FOR THE POVERTY-LEVEL, AGED AND DISABLED (PLAD) GROUP UNTIL JANUARY 1, 2006; TO DEFINE MEDICAID ELIGIBILITY FOR INDIVIDUALS WHO ARE ENTITLED TO MEDICARE PART D; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO DEFINE THE AGE LIMITATION FOR UNLIMITED DAYS IN DISPROPORTIONATE SHARE HOSPITALS; TO DELETE THE AUTOMATIC REPEALER ON THE PROVISION FOR AN ADDITIONAL PAYMENT TO BE MADE TO HOSPITALS FOR IMPLANTABLE PROGRAMMABLE BACLOFEN DRUG PUMPS; TO ESTABLISH A REIMBURSEMENT LIMIT FOR EMERGENCY ROOM VISITS; TO PROVIDE THAT CERTAIN NONEMERGENCY OUTPATIENT HOSPITAL SERVICES SHALL BE REIMBURSABLE UNDER MEDICAID; TO AUTHORIZE THE DIVISION TO REVISE RATES AND METHODOLOGY FOR OUTPATIENT HOSPITAL SERVICES; TO DELETE CERTAIN RESTRICTIONS ON THE REIMBURSEMENT RATE FOR PHYSICIAN'S SERVICES AND CLINIC SERVICES; TO AUTHORIZE THE DIVISION OF MEDICAID TO DEVELOP AND IMPLEMENT A DIFFERENT REIMBURSEMENT SCHEDULE FOR PHYSICIAN'S SERVICES PROVIDED BY PHYSICIANS AT AN ACADEMIC HEALTH CARE CENTER AND ASSOCIATED RURAL HEALTH CENTERS; TO REDUCE THE NUMBER OF HOME HEALTH SERVICE VISITS ALLOWED ANNUALLY FOR MEDICAID RECIPIENTS; TO REVISE THE MONTHLY LIMIT ON PRESCRIPTION DRUGS THAT ARE REIMBURSABLE UNDER MEDICAID; TO DELETE THE AUTHORITY FOR UNLIMITED PRESCRIPTIONS FOR GENERIC DRUGS; TO AUTHORIZE THE DIVISION TO APPROVE SPECIFIC MAINTENANCE DRUGS FOR CERTAIN MEDICAL CONDITIONS; TO AUTHORIZE THE DIVISION TO ALLOW A STATE AGENCY TO BE THE SOLE SOURCE PURCHASER AND DISTRIBUTOR OF CERTAIN MEDICATIONS; TO PROVIDE THAT DRUGS PRESCRIBED FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY RESIDENTS MUST BE PROVIDED IN TRUE UNIT DOSES WHEN AVAILABLE; TO AUTHORIZE THE DIVISION TO REQUIRE THAT CERTAIN DRUGS PRESCRIBED FOR LONG-TERM CARE FACILITY RESIDENTS BE PROVIDED IN TRUE UNIT DOSES WHEN AVAILABLE; TO PROVIDE FOR THE RETURN OF UNUSED DRUGS BY RESIDENTS IN ANY OF THOSE FACILITIES THAT WERE ORIGINALLY BILLED TO THE DIVISION TO BE RETURNED TO THE BILLING PHARMACY FOR CREDIT TO THE DIVISION; TO PROVIDE THAT ONLY ONE DISPENSING FEE PER MONTH MAY BE CHARGED; TO PROVIDE THAT THE DIVISION SHALL DEVELOP A METHODOLOGY FOR REIMBURSING FOR RESTOCKED DRUGS; TO REDUCE THE MAXIMUM PORTION OF A PRESCRIPTION FOR WHICH THE DIVISION WILL REIMBURSE FROM A THIRTY-FOUR-DAY SUPPLY TO A THIRTY-ONE-DAY SUPPLY; TO DELETE THE PROVISION REQUIRING MEDICAID PROVIDERS WHO PRESCRIBE DRUGS TO USE COUNTERFEIT-PROOF PRESCRIPTION PADS FOR MEDICAID PRESCRIPTIONS FOR CONTROLLED SUBSTANCES; TO REQUIRE THE DIVISION TO PROVIDE TO MEDICAID PROVIDERS ON A REGULAR BASIS CERTAIN INFORMATION ABOUT THE COSTS TO THE MEDICAID PROGRAM OF BRAND NAME DRUGS; TO PROVIDE FOR THE CONFIDENTIALITY OF INFORMATION REGARDING THE PRESCRIPTION DRUG PROGRAM; TO DELETE THE AUTOMATIC REPEALER ON THE MEDICARE UPPER PAYMENT LIMITS PROGRAM; TO CLARIFY THE DISEASES AND CONDITIONS ELIGIBLE FOR THE MEDICAID DISEASE MANAGEMENT PROGRAM; TO AUTHORIZE THE DIVISION TO PROVIDE TARGETED CASE MANAGEMENT SERVICES FOR CERTAIN HIGH-COST CASES; TO PROVIDE THAT FEDERALLY QUALIFIED HEALTH CENTERS MAY PARTICIPATE IN THE DIVISION'S EMERGENCY ROOM REDIRECTION PROGRAM, AND THE DIVISION MAY PAY THOSE CENTERS A PERCENTAGE OF ANY SAVINGS TO THE MEDICAID PROGRAM ACHIEVED BY THE CENTERS' ACCEPTING PATIENT REFERRALS THROUGH THE PROGRAM; TO REVISE THE AUTHORITY OF THE GOVERNOR TO DISCONTINUE PAYMENT FOR SERVICES AND TAKE COST CONTAINMENT MEASURES WHEN THE EXPENDITURES OF THE DIVISION EXCEED THE AMOUNT OF FUNDS APPROPRIATED; TO DELETE THE AUTOMATIC REPEALER ON THIS SECTION; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, TO INCREASE THE AMOUNT OF THE ASSESSMENT LEVIED ON BEDS IN NURSING FACILITIES, INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED, PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES AND HOSPITALS; TO DELETE THE EXEMPTION FROM THE ASSESSMENT FOR INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED OPERATED BY STATE AGENCIES; TO PROVIDE THAT THE ENFORCEMENT AUTHORITY OF THE DIVISION TO COLLECT ASSESSMENTS FROM HEALTH CARE FACILITIES APPLIES TO ANY ASSESSMENTS IMPOSED ON THOSE FACILITIES BY THE DIVISION; AND FOR RELATED PURPOSES.
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