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SB 842 – This act modifies provisions relating to the MO HealthNet Division's authority to collect from third party payers. Under this act any third party administrator, administrative service organization, health benefit plan and pharmacy benefits manager shall process and pay all properly submitted MO HealthNet subrogation claims for a period of three years from the date services were provided or rendered, regardless of any other timely filing requirement. The entity shall not deny such claims on the basis of the type or format of the claim form, failure to present proper documentation of coverage at the point of sale, or failure to obtain prior authorization. The MO HealthNet Division shall also enforce its rights within six years of a timely submission of a claim. A MO HealthNet lien on a verdict, settlement, or judgment shall not be deemed satisfied until a release is received from the MO HealthNet Division evidencing payments of all MO HealthNet benefits, premiums, or other such costs due from the verdict, judgment or settlement. The MO HealthNet Division may waive the lien. This act also prescribes how much interest shall accrue on the lien while waiting for full payment and satisfaction on the lien. Certified computerized MO HealthNet records shall be prima facie evidence of proof of moneys expended and the amount due the state. This act contains provisions that are similar to SB 809 (2010) and to SB 552 (2009). ADRIANE CROUSE
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