HLS 16RS-2834 ORIGINAL
2016 Regular Session
HOUSE RESOLUTION NO. 107
BY REPRESENTATIVE HAZEL
HEALTH/DHH: 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
1 A RESOLUTION
2To urge and request the Department of Health and Hospitals to study Medicaid
3 reimbursement and recoupment processes with respect to payments to nonemergency
4 medical transportation providers, and to take all actions as are necessary to resolve
5 problems related to improperly recouped payments to these providers and to ensure
6 that such problems do not recur.
7 WHEREAS, over one million three hundred thousand Louisiana residents are
8enrolled in the Medicaid program; and
9 WHEREAS, the ability to travel to a healthcare provider's location is essential for
10Medicaid enrollees to receive needed care; and
11 WHEREAS, some Medicaid enrollees do not have access to reliable private
12transportation and must rely on public transportation for travel to and from medical
13appointments; and
14 WHEREAS, due to changes to the state Medicaid program and privatization of the
15state's public hospitals, the existing public transportation options may no longer provide
16Medicaid enrollees with sufficient access to healthcare providers; and
17 WHEREAS, dependence on inadequate transportation reduces access to routine,
18preventative, and other nonemergency medical services; and
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HR NO. 107
1 WHEREAS, reduced access can lead to poor health outcomes, particularly for those
2who have chronic conditions and multiple diseases, as well as those who stand to benefit
3from screening, prevention, and health promotion services; and
4 WHEREAS, great opportunity exists for the state to achieve net societal benefits and
5to improve the quality of life of Medicaid enrollees by assisting with access to
6nonemergency medical transportation; and
7 WHEREAS, Medicaid healthcare services providers increasingly face the prospect
8of losing revenue to recoupment, a process which may include the reduction of
9reimbursements to make up for alleged overpayments on prior claims; and
10 WHEREAS, recoupments can create accounting problems and negatively impact
11financial projections; and
12 WHEREAS, Medicaid healthcare services providers, including nonemergency
13medical transportation providers, may be forced out of business or leave the state if
14subjected to multiple recoupments which can cost hundreds of thousands of dollars; and
15 WHEREAS, assessing the issues surrounding the recoupment of Medicaid
16reimbursements is paramount to maintaining a robust and sustainable medical assistance
17program; and
18 WHEREAS, federal regulations require state Medicaid programs to ensure that
19recipients have necessary medical transportation to and from covered Medicaid services.
20 THEREFORE, BE IT RESOLVED that the House of Representatives of the
21Legislature of Louisiana does hereby urge and request the Department of Health and
22Hospitals to study Medicaid reimbursement and recoupment processes with respect to
23payments to nonemergency medical transportation providers, and to take all actions as are
24necessary to resolve problems related to improperly recouped payments to these providers
25and to ensure that such problems do not recur.
26 BE IT FURTHER RESOLVED that the department shall report its findings and
27policy recommendations to the House of Representatives no later than sixty days prior to the
28beginning of the 2017 Regular Session of the Legislature of Louisiana.
29 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to
30secretary of the Department of Health and Hospitals.
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HR NO. 107
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HR 107 Original 2016 Regular Session Hazel
Urges and requests the Dept. of Health and Hospitals (DHH) to study Medicaid
reimbursement and recoupment processes with respect to payments to nonemergency
medical transportation providers, and to take all actions as are necessary to resolve problems
related to improperly recouped payments to these providers and to ensure that such problems
do not recur.
Requires DHH to report its findings and policy recommendations to the House of
Representatives no later than 60 days prior to the beginning of the 2017 R.S.
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