Authorizes and directs the Dept. of Health and Hospitals to cease its policy of Medicaid provider payment delays
Impact
The resolution recognizes the critical role that timely Medicaid payments play in maintaining the stability of in-home support providers. It notes that the existing delays have contributed to workforce instability, jeopardizing pay for direct support workers and violating provisions of federal law that guarantee equal access to services by Medicaid enrollees. By reinstating the previous payment cycle, HCR88 aims to ensure that providers can meet their payroll obligations and continue delivering essential services needed by vulnerable populations.
Summary
House Concurrent Resolution No. 88 (HCR88) aims to address the ongoing delays in Medicaid provider payments enforced by the Louisiana Department of Health and Hospitals. Specifically, the resolution mandates that the department discontinue its current policy that extends the payment processing timeline for Medicaid claims. The changes proposed in HCR88 seek to revert to the previous payment processing cycle that was effective as of June 30, 2011. The intention behind this legislative action is to relieve financial pressure on healthcare providers, particularly those offering in-home support services.
Sentiment
The sentiment surrounding HCR88 appears to be supportive among those affected by the Medicaid payment delays, particularly providers who argue that the current policy has exacerbated financial difficulties. There is an underlying concern that persistent delays threaten both the operational viability of these providers and the health and safety of the service recipients who rely upon them. Advocates for HCR88 likely see it as a necessary corrective measure that fosters stability and responsiveness within the healthcare system.
Contention
While the resolution seems broadly supportive, it is important to note that it addresses a sensitive balance between pursuing fraud detection and ensuring prompt service to Medicaid recipients. The delays were initially implemented to enhance fraud detection, a point which may generate contention among those who believe that addressing fraud is crucial to the integrity of the Medicaid system. However, supporters of HCR88 contend that existing mechanisms for fraud detection are sufficient and that the present delays are unjustly punitive to providers working under tight margins.
Authorizes and directs the secretary of the Department of Health and Hospitals to submit a Section 1115 Medicaid demonstration waiver to the Centers for Medicare and Medicaid Services.
Urges and requests the Department of Health and Hospitals to study Medicaid reimbursement and recoupment processes with respect to payments to nonemergency medical transportation providers
Urges and requests the Dept. of Health and Hospitals and the La. Hospital Association to promote and encourage all hospitals and medical clinics that receive state dollars to promote the "Text4baby" initiative
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.