SB 151 – Sets a reimbursement rate for primary care physicians under Medicaid and requires MO HealthNet to contract with a third party for eligibility verification

• Sponsor: Sater
• LR Number: 0845S.03I
• Committee: Veterans' Affairs and Health
• Last Action: 5/15/2015 - S Informal Calendar S Bills for Perfection--SB 151-Sater
• Effective Date: August 28, 2015

Current Bill Summary

SB 151 - This act requires that during the 2016 fiscal year, primary care physicians providing Medicaid services shall be reimbursed at the same rate as those providing Medicare services. This provision is subject to an appropriation for such purpose.

By January 1, 2016, the MO HealthNet Division is required to contract with a private vendor to verify that eligibility requirements are being met by Medicaid recipients. The Division will retain final determination of eligibility. The Division and the contractor are required to file a quarterly report with the Governor and the General Assembly regarding the work of the contractor.

This act is identical to HB 551 (2015) and provisions are similar to provisions in SCS/HCS/HB 796 (2015), HB 985 (2015), HCS/SCS/SB 35 (2015), HCS/SCS/SB 38 (2015), and HCS/SCS/SB 322 (2015).

SARAH HASKINS