2021
Regular Session
Medicaid; require managed care companies to provide detailed, signed explanation for denial of coverage of procedure.
AN ACT TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO REQUIRE EACH ORGANIZATION PARTICIPATING IN A MANAGED CARE PROGRAM OR COORDINATED CARE PROGRAM IMPLEMENTED BY THE DIVISION OF MEDICAID TO PROVIDE TO EACH HEALTH CARE PROVIDER FOR WHOM THE ORGANIZATION HAS DENIED THE COVERAGE OF A PROCEDURE THAT WAS ORDERED OR REQUESTED BY THE HEALTH CARE PROVIDER FOR A PATIENT, A LETTER THAT PROVIDES A DETAILED EXPLANATION OF THE REASONS FOR THE DENIAL OF COVERAGE OF THE PROCEDURE AND THE NAME AND THE CREDENTIALS OF THE PERSON WHO DENIED THE COVERAGE; TO PROVIDE THAT THE LETTER SHALL BE SENT TO THE HEALTH CARE PROVIDER IN BOTH PHYSICAL AND ELECTRONIC FORMAT AND SHALL BE SIGNED BY THE PERSON WHO DENIED THE COVERAGE; AND FOR RELATED PURPOSES.
03/15/21 at 10:32
H
B
156
House Bill 156
HB 156
H
Dead
General Bill/Constitutional Amendment
No
Majority
July 1, 2021
Medicaid
T
../../House_cmtes/ME.xml
Currie
../../House_authors/Currie.xml
A
../../code_sections/043/00130117.xml
1
01/08 (H) Referred To Medicaid
2
02/02 (H) Died In Committee
../../../../documents/2021/pdf/HB/0100-0199/HB0156IN.pdf
../../../../documents/2021/html/HB/0100-0199/HB0156IN.htm
../../../../documents/2021/pdf/HB/0100-0199/HB0156IN.pdf
../../../../documents/2021/html/HB/0100-0199/HB0156IN.htm
N
../../../../documents/2021/pdf/fiscalnotes/HB0156.pdf