Louisiana 2015 Regular Session

Louisiana House Bill HB270

Introduced
4/1/15  
Introduced
4/1/15  
Refer
4/1/15  
Refer
4/1/15  
Refer
4/13/15  
Refer
4/13/15  
Report Pass
4/29/15  
Report Pass
4/29/15  
Engrossed
5/6/15  
Engrossed
5/6/15  
Refer
5/7/15  
Report Pass
5/13/15  
Report Pass
5/13/15  
Enrolled
5/20/15  
Enrolled
5/20/15  
Chaptered
5/29/15  
Passed
5/29/15  

Caption

Provides relative to filing of Medicaid claims (EN NO IMPACT See Note)

Impact

The introduction of HB270 has the potential to positively affect healthcare providers within the state by significantly improving their ability to submit claims. This legislative change is designed to alleviate some administrative burdens and facilitate smoother financial transactions within the healthcare system. With the longer filing period in place, providers and organizations affiliated with Medicaid will likely experience fewer instances of denied claims due to late submissions, thereby fostering more reliable reimbursement processes.

Summary

House Bill 270 aims to amend the existing statutes regarding the filing of claims for services provided under Louisiana's Medicaid program. Specifically, the bill mandates that healthcare providers must be given a minimum filing period of 365 days from the date services are rendered to submit claims for payment. This amendment is intended to streamline the claims process and provide clarity for both providers and enrollees about the timeliness of claims submissions. By establishing this longer filing period, HB270 seeks to ensure that providers have adequate time to process and submit claims without undue pressure.

Sentiment

Overall, the sentiment surrounding HB270 appears to be favorable, particularly among healthcare providers who would benefit from the extended filing window. The bill's proponents argue that it is a necessary reform that addresses systemic issues within the Medicaid claims process. However, there may be concerns regarding how this change could influence the administrative practices of the Department of Health and Hospitals in Louisiana and whether additional resources will be needed to implement the new requirements efficiently. Despite these concerns, there has been overarching support for enhancing provider claims processing.

Contention

While HB270 received broad support during voting sessions, there may still exist points of contention regarding its implementation. Critics may argue about the fiscal implications of extending the claim submission period and whether this could lead to increased delays in processing claims. Moreover, there is a focus on how managed care organizations will adapt their practices to accommodate the new requirements set forth by the bill, raising questions about the balance between provider needs and maintaining manageable operational processes within Medicaid administration.

Companion Bills

No companion bills found.

Previously Filed As

LA HB492

Provides for an independent claims review process within the Medicaid managed care program (EN INCREASE GF EX See Note)

LA HB129

Provides relative to Medicaid nonemergency transportation providers and services (OR INCREASE GF EX See Note)

LA HB1157

Provides relative to the Medicaid provider claims review process (EN SEE FISC NOTE GF EX)

LA HB424

Provides relative to denials of provider claims and prior authorization requests by Medicaid managed care organizations (EN NO IMPACT See Note)

LA HB688

Provides requirements relative to primary care case management within the Medicaid managed care program (OR See Note)

LA SB185

Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)

LA HB392

Provides relative to continuity of care for newborns enrolled in Medicaid managed care (RE1 SEE FISC NOTE See Note)

LA HB434

Provides relative to definitions, policies, and procedures of Medicaid managed care organizations (EN NO IMPACT See Note)

LA SB349

Provides relative to Medicaid managed long term care support and services. (gov sig) (OR NO IMPACT See Note)

LA SB130

Provides relative to Medicaid. (gov sig) (EN DECREASE GF EX See Note)

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