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Bill would create interim Medicaid settlements for Montana critical access hospitals to ease cash‑flow delays
Summary
House Bill 732 would require interim settlements for Medicaid cost reports submitted by Montana critical access hospitals, aligning state practice with Medicare to reduce long delays in final settlements that strain rural hospital cash flow.
Representative David Beatty presented House Bill 732 to the Senate Public Health Committee on March 31, proposing that Montana adopt an initial settlement process for Medicaid cost reports for critical access hospitals similar to the federal Medicare process. The sponsor said Medicaid settlements currently wait until federal audits are complete, a process that can take years and create cash‑flow problems for small rural hospitals.
"Every year a hospital prepares a cost report for Medicare and…
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