AN ACT TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO DELETE THE PROVISION IN THE MEDICAID SERVICES SECTION THAT FREEZES MEDICAID PROVIDER RATES OF REIMBURSEMENT AT THE LEVELS IN EFFECT ON JULY 1, 2021; TO ESTABLISH A PROCEDURE FOR THE MEDICAID AND APPROPRIATIONS COMMITTEES OF THE HOUSE AND SENATE TO REVIEW PROPOSED CHANGES IN PROVIDER RATES OF REIMBURSEMENT BY THE DIVISION OF MEDICAID BEFORE THE CHANGES WILL TAKE EFFECT; TO PROVIDE THAT THE COMMITTEES HAVE NO AUTHORITY TO VETO OR REVISE ANY PROPOSED RATE CHANGE, BUT ARE LIMITED TO REVIEWING, MAKING OBJECTIONS TO AND MAKING RECOMMENDATIONS FOR SUGGESTED CHANGES TO RATE CHANGES PROPOSED BY THE DIVISION; TO PROHIBIT THE DIVISION OF MEDICAID FROM EXECUTING A CONTRACT OR MAKING CAPITATED PAYMENTS FOR SERVICES WITH ANY ENTITY THAT HAS EXECUTED A SETTLEMENT AGREEMENT WITH THE STATE OF MISSISSIPPI OR ANY OTHER STATE RELATED TO ALLEGATIONS OF FRAUD, WASTE, ABUSE OR OVERPAYMENTS IN THE STATE'S MEDICAID PROGRAM; TO DIRECT THE DIVISION OF MEDICAID TO SELECT A MISSISSIPPI NONPROFIT CORPORATION IN ADDITION TO THE MANAGED CARE ENTITIES WITH WHICH THE DIVISION HAS CONTRACTED AS OF JANUARY 1, 2022, TO PROVIDE MEDICAID SERVICES ON A CAPITATED BASIS UNDER A MANAGED CARE PROGRAM OR COORDINATED CARE PROGRAM IMPLEMENTED BY THE DIVISION; AND FOR RELATED PURPOSES.

Statutes affected:
As Introduced: 43-13-117
Committee Substitute: 43-13-117
As Passed by the House: 43-13-117