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Bill would let DPHHS adopt Medicare fee-schedule changes automatically to speed Medicaid payments
Summary
House Bill 473 would authorize the Department of Public Health and Human Services to implement updates to the Medicare fee schedule automatically so Medicaid payment rates tied to that schedule are updated without lengthy rulemaking and mass claim adjustments; DPHHS said delays in adoption forced manual review of more than 109,000 claims in 2024.
Representative Jane Gillette introduced House Bill 473 to allow the Department of Public Health and Human Services to implement Medicare fee-schedule rate changes automatically so that Medicaid payments tied to those schedules reflect current Medicare updates without repeated rulemaking and…
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