Bill Text: TX HB2373 | 2017-2018 | 85th Legislature | Engrossed
Bill Title: Relating to the period for filing a claim for reimbursement for certain ancillary services under the Medicaid program.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Engrossed - Dead) 2017-05-09 - Referred to Health & Human Services [HB2373 Detail]
Download: Texas-2017-HB2373-Engrossed.html
85R19158 KFF-F | ||
By: Miller | H.B. No. 2373 |
|
||
|
||
relating to the period for filing a claim for reimbursement for | ||
certain ancillary services under the Medicaid program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter B, Chapter 32, Human Resources Code, | ||
is amended by adding Section 32.0317 to read as follows: | ||
Sec. 32.0317. PERIOD FOR FILING REIMBURSEMENT CLAIMS BY | ||
CERTAIN ANCILLARY SERVICE PROVIDERS. (a) In this section, | ||
"ancillary service" means a health care service provided or ordered | ||
by a physician or other health care provider to supplement or | ||
support the evaluation or treatment of a patient, including a | ||
diagnostic ultrasound test, laboratory test, cardiac diagnostic | ||
test, or radiology service. | ||
(b) In adopting rules governing the period for filing claims | ||
for reimbursement under the medical assistance program, the | ||
executive commissioner shall ensure that a provider of an ancillary | ||
service to a recipient who is homebound, as defined by rule by the | ||
executive commissioner, or who resides in a nursing facility may | ||
file a claim for reimbursement for that service with the | ||
commission, the commission's designee, a managed care | ||
organization, or other person, as appropriate, on or before the | ||
270th day after the date the ancillary service is provided. | ||
SECTION 2. The executive commissioner of the Health and | ||
Human Services Commission shall adopt the rules necessary to | ||
implement Section 32.0317, Human Resources Code, as added by this | ||
Act, not later than January 1, 2018. | ||
SECTION 3. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 4. This Act takes effect September 1, 2017. |