HB 91 (BR 257) - Ji. Lee, D. Graham, D. Owens
AN ACT relating to Medicaid services.
Amend KRS 205.531 to require review of a denial of a service or services for medical necessity, or denial, limitation, or termination of a service or services involving a medical or surgical specialty or subspecialty, to be reviewed by a board certified or board eligible physician in the specialty area; require that the reviewing physician be an individual who was not involved in the original denial and is not the provider of services under consideration in the hearing.
HB 91 - AMENDMENTS
HCS - Retain original provisions except specify that the administrative hearing process applies only to a Medicaid managed care organization; exempt services rendered by a chiropractor or optometrist as specified in KRS 304.17A-607(1)(b).
(Prefiled by the sponsor(s).)
Dec 7-To: Interim Joint Committee on Health and Welfare
Jan 3-introduced in House; to Health and Welfare (H)
Jan 10-posted in committee
Feb 9-reported favorably, 1st reading, to Calendar with Committee Substitute
Feb 10-2nd reading, to Rules
Feb 13-posted for passage in the Regular Orders of the Day for Tuesday, February 14, 2006
Feb 14-3rd reading, passed 98-0 with Committee Substitute
Feb 15-received in Senate
Feb 17-to Health and Welfare (S)