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2000 SESSION

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HB 1363 Medicaid adverse determinations.

Introduced by: H. Morgan Griffith | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Medicaid adverse determinations. Stipulates that, in any instance in which the Director of Medical Assistance Service's final decision on an appeal of the initial determination of provider reimbursement has not been received within 180 days of the closing of the record of the appeal, the provider may appeal the final decision in accordance with the Administrative Process Act or a de novo action may be filed in the appropriate circuit court. In any de novo civil action in which any person contests any action of the Department of Medical Assistance Services, the court must receive the records of the administrative proceedings, if any; must hear additional evidence at the request of either party; must base its decision on the preponderance of the evidence; and must grant such relief as the court determines appropriate.


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