Tagged: Medicaid Managed Care

Gov. Steve Beshear has vetoed a bill sponsored by House Speaker Greg Stumbo that would require prompt payment in the Medicaid managed care system. 

The governor was expected to veto the bill, claiming it would cost the state too much money.

But in turn, Beshear says he will implement the spirit of the bill, including allowing the Department of Insurance to investigate late payment claims. Beshear also promised the administrative side of the managed care system would work better.

A bill requiring prompt pay for health care providers participating in Kentucky's Medicaid managed-care system is heading to the governor's desk—but it isn't veto-proof.

The bill,  sponsored by House Speaker Greg Stumbo and would move disputes between providers and managed care organizations to the Department of Insurance to be settled.

Many Medicaid managed-care providers providers over late or non-existent payments from the MCOs for the services they did, repeatedly telling lawmakers their problems.

 A bill moving Medicaid managed care late payments to the Department of Insurance's review process has overwhelmingly passed the state House.

House Bill 5 passed 99-0 off the floor, after a few technical amendments were added to it.

House Speaker Greg Stumbo is the bill sponsor and says his goal is to make sure health care providers start getting paid by Medicaid managed care organizations, which has been a problem since the MCO system was implemented.

A bill  moving Medicaid late payment claims to the Department of Insurance appears to have some support in the state Senate.

House Bill 5 would take prompt pay issues with the Medicaid managed care system and put it through the Insurance Department's current claims process. Currently, the Cabinet for Health and Family Services deal with late claims.

Sen. Julie Denton, chair of the Senate Health and Welfare Committee, said she plans to give the bill a hearing and supports the bill's attempts to make managed care organizations pay providers.