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General Assembly Substitute Bill No. 821
January Session, 2019
AN ACT CONCERNING EQ UITABLE MEDICAID REIMBURSEMENT
FOR FEDERALLY QUALIF IED HEALTH CENTER PRACTITIONERS .
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 17b-245b of the general statutes is repealed and 1
the following is substituted in lieu thereof (Effective July 1, 2019): 2
The Commissioner of Social Services shall, consistent with federal 3
law, make changes to the cost-based reimbursement methodology in 4
the Medicaid program for federally qualified health centers. To the 5
extent permitted by federal law, the commissioner may reimburse a 6
federally qualified health center under the Medicaid program for 7
multiple medical, behavioral health or dental services provided to an 8
individual during the course of a calendar day, irrespective of the type 9
of service provided. [On or before January 1, 2008, the commissioner 10
shall report to the joint standing committees of the General Assembly 11
having cognizance of matters relating to appropriations and the 12
budgets of state agencies and human services on the status of the 13
changes to the cost-based reimbursement methodology.] Payment for 14
electronic consulting provided by a qualified primary care or treating 15
practitioner at a federally qualified health center shall be a permissible 16
component within the federally mandated Medicaid prospective 17
payment methodology for federally qualified health centers. 18 Substitute Bill No. 821
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This act shall take effect as follows and shall amend the following
sections:
Section 1 July 1, 2019 17b-245b
HS Joint Favorable Subst.