85R8761 KFF-F
By: Miller H.B. No. 2373
A BILL TO BE ENTITLED
AN ACT
relating to the period for filing a claim for reimbursement for
certain ancillary services under the Medicaid program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.0317 to read as follows:
Sec. 32.0317. PERIOD FOR FILING REIMBURSEMENT CLAIMS BY
CERTAIN ANCILLARY SERVICE PROVIDERS. (a) In this section,
"ancillary service" means a health care service provided or ordered
by a physician or other health care provider to supplement or
support the evaluation or treatment of a patient, including a
diagnostic ultrasound test, laboratory test, cardiac diagnostic
test, or radiology service.
(b) In adopting rules governing the period for filing claims
for reimbursement under the medical assistance program, the
executive commissioner shall ensure a provider filing a claim for
reimbursement for the provision of an ancillary service to a
recipient who is homebound, as defined by rule by the executive
commissioner, or who resides in a nursing facility is allowed a
period of at least 365 days from the date the ancillary service is
provided to file the claim with the commission, the commission's
designee, a managed care organization, or other person, as
appropriate.
SECTION 2. The executive commissioner of the Health and
Human Services Commission shall adopt the rules necessary to
implement Section 32.0317, Human Resources Code, as added by this
Act, not later than October 1, 2017.
SECTION 3. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 4. This Act takes effect September 1, 2017.