HB 361/FN (BR 1423) - G. Stumbo, R. Bunch, R. Damron, S. Overly, R. Quarles, A. Simpson
AN ACT relating to Medicaid managed care organization provider payments.
Amend KRS 205.522 to define terms; permit an enrollee of a medicaid managed care organization (MCO) to assign rights to appeal an action by an MCO relating to care received by an enrollee; establish an enrollee's right to a state fair hearing when an enrollee or assignee appeals an MCO's action relating to care received or proposed to be given to an enrollee; require an action by an MCO to state the reason for an action with specificity; state that the MCO shall pay for services rendered while an appeal was pending if a hearing officer reverses a decision to deny, reduce, or terminate health care services.
Feb 10-introduced in House
Feb 11-to Health & Welfare (H)
Mar 6-posted in committee