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Bill to bar certain third-party denials for Medicaid claims cited as federal alignment and modest state savings
Summary
Senate Bill 361 would align Montana law with a federal requirement added in the Consolidated Appropriations Act, 2022, preventing liable third-party payers from denying payment to Medicaid solely for lack of a prior authorization. The department testified the change will increase Medicaid recoveries modestly.
A bill to clarify third-party liability rules for Medicaid — Senate Bill 361 — drew informational testimony that it aligns Montana statute with federal law and could modestly increase state recoveries.
Sponsor Mike Yakawich described the measure as a clarification intended to ensure third-party payers do not refuse payment for covered items solely because a prior authorization was not obtained under…
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