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Senate committee reviews broad DHS rule package: Medicaid billing, rates, waivers and behavioral‑health transformation
Summary
Department of Human Services presented a large packet of rule changes affecting Medicaid cost‑sharing, child‑support reporting, pharmacy billing, prosthetics rates, 340B modifiers, LARC reimbursement, assisted‑living rates, Live 360 homes, and an extensive behavioral health/CSSP manual; providers raised concerns about ILP manual repeal, group‑therapy rate cuts, and transition timelines for new ACT teams.
Department of Human Services officials presented a multi‑item rule packet to the Senate Public Health, Welfare and Labor Committee that touches Medicaid policy, provider payment rates, waiver implementations and a substantial behavioral health reorganization.
Key items reviewed included: a rule to allow caseworkers to sanction applicants/recipients who refuse to cooperate with child support without immediate OCSE referral; a rule restoring cost‑sharing for fee‑for‑service Medicaid to align with Centers for Medicare & Medicaid Services (CMS) requirements and implementing home‑cost sharing under a waiver; a proposed 90%‑of‑Medicare rate increase for prosthetics and orthotics; pharmacy billing…
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