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Short hearing: bill would bar third-party payers from denying Medicaid claims solely for missing prior authorization
2473457 · March 3, 2025
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Summary
The Office of Inspector General told the committee Senate Bill 361 would bar a liable third‑party payer from denying payment for Medicaid services solely for lack of prior authorization, aligning state law with the federal Consolidated Appropriations Act of 2022.
Heather Smith, program compliance bureau chief with the Office of Inspector General, told the committee that Senate Bill 361 implements a federal change in the Consolidated Appropriations Act of 2022. The statute,…
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