Mississippi 2024 Regular Session

Mississippi House Bill HB477

Introduced
1/23/24  
Refer
1/23/24  

Caption

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

Impact

The implications of this bill could lead to more accurate reimbursement rates that reflect the actual costs of durable medical equipment. This might provide improved access to necessary services and support for individuals requiring specialized healthcare equipment, which could directly benefit low-income families relying on Medicaid. Additionally, the bill extends the repeal date of the current reimbursement statute, suggesting a longer-term commitment to assessing the funding framework used in delivering healthcare services related to medical equipment under Medicaid. The postponement of the repeal may reflect a necessity to further analyze funding mechanisms and optimize resource allocation.

Summary

House Bill 477 seeks to amend Section 43-13-117 of the Mississippi Code by revising the calculation of Medicaid reimbursement specifically for durable medical equipment (DME). The bill aims to enhance the financial provisions concerning Medicaid beneficiaries by refining how costs are assessed and reimbursed for durable medical equipment, which typically includes devices that assist patients in their everyday living through medical needs. These adjustments are expected to ensure that Medicaid serves its purpose more efficiently while providing necessary aids to eligible recipients.

Contention

There may be points of contention around the effectiveness of the new reimbursement calculations. Critics argue that without thorough oversight of the reimbursement methodologies, the adjustments could either undervalue providers or lead to increased costs for the state. Legislative discussions will likely necessitate balancing the need for enhanced patient care through better reimburses while managing state budget constraints related to Medicaid funding. The necessity for compliance with federal regulations, including those outlined by the Centers for Medicare and Medicaid Services, could also present challenges that warrant ongoing legislative and executive scrutiny.

Companion Bills

No companion bills found.

Previously Filed As

MS HB119

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

MS SB2209

Medicaid program; revise reimbursement for telehealth services for community health centers.

MS HB159

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS SB2626

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS HB187

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS SB2397

Medicaid services; bring forward section for purpose of possible amendment.

MS HB992

Medicaid; bring forward services and managed care provisions.

MS HB1080

Medicaid; provide coverage for neonatal circumcision procedures.

MS SB2212

Recipients of Medicaid; extend postpartum coverage up to 12 months.

MS HB1411

Medicaid; provide coverage for substance abuse and mental health services for pregnant and postpartum women.

Similar Bills

MS SB2779

HIV prevention drugs; require health insurance plans and Division of Medicaid to provide coverage for.

MS HB1527

HIV medications; prohibit health plans and Medicaid from subjecting to protocols that restrict dispensing of.

MS SB2397

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided.

MS SB2824

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided.

MS HB1044

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided by the facilities.

MS HB187

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS HB425

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS HB423

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.