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2023 SESSION
HB 2158 DMAS; Department shall evaluate its ability to comply with certain federal regulations.
Introduced by: C. Matthew Fariss | all patrons ... notes | add to my profiles | history
SUMMARY AS PASSED HOUSE:
Department of Medical Assistance Services; compliance with certain federal requirements; work group; report. Directs the Department of Medical Assistance Services to evaluate its ability to comply with certain federal requirements regarding the Commonwealth's right of recovery from insurance carriers for items or services for which payment was made under the state plan for medical assistance services by the effective compliance date of July 1, 2024, and to convene a work group to develop a communication plan to notify carriers of the changes required by such federal law. The bill directs the Department to report its findings and recommendations to the Chairs of the House Committee on Appropriations and Senate Committee on Finance and Appropriations by November 1, 2023.
SUMMARY AS INTRODUCED:
Payor of last resort; third-party claims; right to recovery; transferability. Establishes the Department of Medical Assistance Services' ability to transfer its right of recovery on third-party claims to managed care organizations. The bill specifies that managed care organizations receive the same right to recovery as the Department upon transfer of the claim and gives managed care organizations a one-year period in which to identify and bill a third party, after which the Department may pursue a claim.