Mississippi Legislature

1999 Regular Session

Senate Bill 2143

[Introduced] [Committee Substitute] [Passed Senate] [Sent to Governor]

Instructions Bill Status Menu




History of Actions

Amendments

Background

Title

Description: Medicaid assistance program; revise eligibility and services reimbursement.

History of Actions:

101/05/99(S)Referred To Public Health and Welfare
201/27/99(S)Title Suff Do Pass Comm Sub
302/09/99(S)Committee Substitute Adopted
402/09/99(S)Amended
502/09/99(S)Passed As Amended
602/10/99(S)Transmitted To House
702/12/99(H)Referred To Public Health and Welfare;Appropriations
802/25/99(H)DR - TSDPAA: PH To AP
903/02/99(H)DR - TSDPAA: AP To PH
1003/02/99(H)Title Suff Do Pass As Amended
1103/04/99(H)Amended
1203/04/99(H)Passed As Amended
1303/08/99(H)Returned For Concurrence
1403/12/99(S)Decline to Concur/Invite Conf
1503/23/99(S)Conferees Named Simmons,Hall,Bean
1603/24/99(H)Conferees Named Moody,Flaggs,Holland
1703/29/99(S)Conference Report Filed
1803/29/99(H)Conference Report Filed
1903/30/99(H)Conference Report Adopted
2003/30/99(S)Conference Report Adopted
2104/07/99(S)Enrolled Bill Signed
2204/07/99(H)Enrolled Bill Signed
2304/23/99Vetoed      (Veto Message)

Amendments/Conference Report:

Adopted [S] Amendment No 1 (Cmte Sub)
Adopted [S] Amendment No 2 (Cmte Sub)
Adopted [H] Amendment No 1
Adopted [H] Amendment No 1 to Amendment No 1

Conference Report

Background Information:

Effective dateJuly 1, 1999
DispositionDead
DeadlineGeneral Bill/Constitutional Amendment
RevenueNo
3/5ths vote requiredNo

Senate Committee:

House Committees:

Principal Author: Bean

Code Sections: A 043-0013-0103, A 043-0013-0105, A 043-0013-0107, A 043-0013-0111, A 043-0013-0113, A 043-0013-0115, A 043-0013-0116, A 043-0013-0117, A 043-0013-0121, A 043-0013-0122, A 043-0013-0125, A 043-0013-0137, A 043-0013-0305, A 043-0027-0107

Title: AN ACT RELATING TO MEDICAID ASSISTANCE; TO AMEND SECTIONS 43-13-103 AND 43-13-105, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DIVISION OF MEDICAID TO EXPEND FUNDS UNDER TITLE XXI OF THE FEDERAL SOCIAL SECURITY ACT; TO AMEND SECTION 43-13-107, MISSISSIPPI CODE OF 1972, TO CREATE A MEDICAL CARE ADVISORY COMMITTEE TO THE DIVISION OF MEDICAID; TO AMEND SECTION 43-13-111, MISSISSIPPI CODE OF 1972, TO CLARIFY THAT EACH STATE AGENCY SHALL REQUEST AND OBTAIN AN APPROPRIATION FOR ALL MEDICAID PROGRAMS ADMINISTERED BY SUCH AGENCY; TO AMEND SECTION 43-13-113, MISSISSIPPI CODE OF 1972, TO REQUIRE THE DIVISION OF MEDICAID AND ITS FISCAL AGENT TO IMPLEMENT A CONTINGENCY REIMBURSEMENT AND ELIGIBILITY VERIFICATION PLAN IN THE EVENT OF A YEAR 2000 PROBLEM; TO AMEND SECTION 43-13-115, MISSISSIPPI CODE OF 1972, AS AMENDED BY HOUSE BILL NO. 403, 1999 REGULAR SESSION, TO DEFINE THOSE INDIVIDUALS ELIGIBLE FOR MEDICAID ASSISTANCE; TO AMEND SECTION 43-13-116, MISSISSIPPI CODE OF 1972, TO PROVIDE FOR LOCAL AND STATE HEARING REQUESTS BY CLAIMANTS; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, AS AMENDED BY HOUSE BILL NO. 57, 1999 REGULAR SESSION, AND HOUSE BILL NO. 403, 1999 REGULAR SESSION, TO DELETE THE REQUIREMENT FOR DIVISION OF MEDICAID APPROVAL FOR REIMBURSEMENT FOR MORE THAN 15 DAYS OF INPATIENT HOSPITAL CARE, TO AUTHORIZE HOSPITAL REIMBURSEMENT FOR IMPLANTABLE PROGRAMMABLE PUMPS IN AN INPATIENT SETTING, TO DIRECT THE DIVISION TO DEVELOP A COST-TO-CHARGE RATIO CALCULATION FOR OUTPATIENT HOSPITAL SERVICES AND REPORT TO THE MEDICAL ADVISORY COMMITTEE FOR RECOMMENDATIONS TO THE 2000 REGULAR SESSION, TO DELETE THE REPEALER ON THE CASE-MIX REIMBURSEMENT SYSTEM FOR NURSING FACILITY SERVICES, TO AUTHORIZE THE DIVISION TO REDUCE THE PAYMENT FOR HOSPITAL LEAVE AND HOME LEAVE FOR A NURSING FACILITY RESIDENT USING CERTAIN CASE-MIX CRITERIA AND TO AUTHORIZE THE DIVISION TO LIMIT CERTAIN MANAGEMENT FEES AND HOME OFFICE COSTS FOR NURSING FACILITIES, ICFMR'S AND PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES, TO DELETE CERTAIN REQUIREMENTS FOR REIMBURSEMENT TO NURSING FACILITIES FOR RETURN ON EQUITY CAPITAL, TO DELETE THE PROVISION ESTABLISHING AND EMPOWERING THE MEDICAID REVIEW BOARD FOR NURSING FACILITIES, TO AUTHORIZE A CASE-MIX REIMBURSEMENT ADD-ON AND DEPRECIATION REIMBURSEMENT FOR RESIDENTS OF NURSING FACILITIES WITH ALZHEIMER'S OR RELATED DEMENTIA, TO DIRECT THE DIVISION OF MEDICAID TO DEVELOP AND IMPLEMENT A REFERRAL PROCESS FOR LONG-TERM CARE ALTERNATIVES FOR MEDICAID BENEFICIARIES AND APPLICANTS; TO PROVIDE THAT NO MEDICAID BENEFICIARY SHALL BE ADMITTED TO A MEDICAID-CERTIFIED NURSING FACILITY UNLESS A LICENSED PHYSICIAN CERTIFIES ON A STANDARDIZED FORM THAT NURSING FACILITY CARE IS APPROPRIATE FOR THAT PERSON; TO PROVIDE THAT THE PHYSICIAN MUST FORWARD A COPY OF HIS CERTIFICATION TO THE DIVISION OF MEDICAID WITHIN 24 HOURS; TO REQUIRE THE DIVISION TO DETERMINE, THROUGH AN ASSESSMENT OF THE APPLICANT CONDUCTED WITHIN TWO BUSINESS DAYS AFTER RECEIPT OF THE PHYSICIAN'S CERTIFICATION, WHETHER THE APPLICANT ALSO COULD LIVE APPROPRIATELY AND COST-EFFECTIVELY AT HOME OR IN SOME OTHER COMMUNITY-BASED SETTING IF HOME- OR COMMUNITY-BASED SERVICES WERE AVAILABLE TO THE APPLICANT; TO PROVIDE THAT IF THE DIVISION DETERMINES THAT A HOME- OR OTHER COMMUNITY-BASED SETTING IS APPROPRIATE AND COST-EFFECTIVE, IT SHALL ADVISE THE APPLICANT THAT A HOME- OR OTHER COMMUNITY-BASED SETTING IS APPROPRIATE AND PROVIDE A PROPOSED CARE PLAN FOR THE APPLICANT; TO PROVIDE THAT THE DIVISION MAY PROVIDE THE SERVICES FOR THE APPLICANT DIRECTLY OR THROUGH CONTRACT WITH CASE MANAGERS FROM THE LOCAL AREA AGENCIES ON AGING; TO DELETE THE REQUIREMENT THAT THE DIVISION OF MEDICAID PROVIDE HOME- AND COMMUNITY-BASED SERVICES UNDER A COOPERATIVE AGREEMENT WITH THE DEPARTMENT OF HUMAN SERVICES, TO INCREASE THE PHYSICIAN'S FEE AND DENTIST'S FEE REIMBURSEMENT UNDER MEDICAID, TO INCREASE THE NUMBER OF MEDICAID PRESCRIPTIONS UNDER CERTAIN CIRCUMSTANCES, TO AUTHORIZE THE DIVISION TO REQUIRE HOME HEALTH SERVICES PROVIDERS TO OBTAIN A SURETY BOND, TO AUTHORIZE THE DIVISION TO REQUIRE DURABLE MEDICAL EQUIPMENT PROVIDERS TO OBTAIN A SURETY BOND AND TO DELETE THE LIMITATION ON DURABLE MEDICAL EQUIPMENT REIMBURSEMENT, TO PROHIBIT THE EXPANSION OF THE CAPITATED MANAGED CARE PROGRAM INTO ANY COUNTY OTHER THAN CERTAIN SPECIFIED COUNTIES, TO GUARANTEE MEDICAID ELIGIBILITY FOR RECIPIENTS WHO ENROLL IN THE CAPITATED MANAGED CARE PROGRAM FOR NOT LESS THAN SIX MONTHS, TO AUTHORIZE MEDICAID REIMBURSEMENT FOR ONE PAIR OF EYEGLASSES EVERY THREE YEARS, TO DELETE THE AUTHORITY FOR THE PERSONAL CARE SERVICES PILOT PROGRAM, TO DIRECT THE DIVISION TO APPLY FOR A FEDERAL WAIVER TO DEVELOP A PROGRAM OF SERVICES TO PERSONAL CARE AND ASSISTED LIVING HOMES, TO DELETE THE REPEALER ON THE PROVISION FOR CHIROPRACTIC SERVICES REIMBURSEMENT, TO CHANGE THE DATE FOR CHANGES IN REIMBURSEMENT RATES REQUIRING LEGISLATIVE APPROVAL, TO DIRECT THE DIVISION TO PAY THE MEDICARE DEDUCTIBLE AND 10% COINSURANCE FOR QUALIFIED MEDICAID BENEFICIARIES, AND TO PROVIDE FOR MEDICAID REIMBURSEMENT FOR SERVICES PROVIDED BY THE DEPARTMENT OF REHABILITATION SERVICES TO PERSONS WITH SPINAL CORD OR TRAUMATIC BRAIN INJURIES, AS ALLOWED UNDER FEDERAL WAIVERS; TO AMEND SECTION 43-13-121, MISSISSIPPI CODE OF 1972, TO PROVIDE FOR ACCESS TO PROVIDER RECORDS FOR DIVISION STAFF AND TO DISQUALIFY CERTAIN PROVIDERS FOR REIMBURSEMENT; TO AMEND SECTION 43-13-122, MISSISSIPPI CODE OF 1972, IN CONFORMITY THERETO; TO AMEND SECTION 43-13-125, MISSISSIPPI CODE OF 1972, TO CLARIFY THAT THE DIVISION OF MEDICAID'S SUBROGATION RIGHTS ARE TO THE EXTENT OF BENEFITS PROVIDED BY MEDICAID ON BEHALF OF THE RECIPIENT TO WHOM THIRD PARTY PAYMENTS ARE PAYABLE; TO AMEND SECTION 43-13-137, MISSISSIPPI CODE OF 1972, TO DIRECT THE DIVISION OF MEDICAID TO COMPLY WITH THE ADMINISTRATIVE PROCEDURES LAW; TO AMEND SECTION 43-13-305, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DIVISION OF MEDICAID TO ENDORSE MULTI-PAYEE CHECKS; TO AMEND SECTION 43-27-107, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DEPARTMENT OF HUMAN SERVICES TO CLASSIFY CERTAIN NEWLY CREATED SOCIAL WORKER POSITIONS AS TIME-LIMITED EMPLOYEES; AND FOR RELATED PURPOSES.


Information pertaining to this measure was last updated on 04/23/99 at 15:08.



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