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Committee backs bill to increase transparency for Medicaid prepayment reviews after providers describe delayed payments
Summary
Senate Bill 153, a transparency measure concerning Medicaid prepayment review by managed-care organizations, advanced unanimously after providers testified about delayed payments, unclear notice and administrative costs tied to prepayment reviews.
Senate Bill 153, a bill to codify notice and due‑process requirements for Medicaid prepayment reviews by managed‑care organizations, was amended in committee and passed with a favorable report after testimony from behavioral‑health providers and legal counsel.
Sponsor Senator Craig Richardson said the bill seeks to codify notice, timelines and transparency around prepayment review procedures that review Medicaid claims before payment. "This is a transparency bill... specifically about prepayment review," Richardson said, adding the intent is not to eliminate prepayment review but to require clearer notice and guidelines so providers can respond and maintain cash flow.
Jessica Burke, chief legal officer for Addiction Recovery Care, told the committee…
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