Truly Agreed to and Finally Passed

CCS/HCS/SCS/SB 210 - This act modifies provisions relating to healthcare.

HEALTHCARE PROVIDER REIMBURSEMENT ALLOWANCE TAXES (190.839, 198.439, 208.437, 338.550, & 633.401)

This act extends the sunsets from September 30, 2015 to September 30, 2016, for the Ground Ambulance, Nursing Facility, Medicaid Managed Care Organization, Hospital, Pharmacy, and Intermediate Care Facility for the Intellectually Disabled Reimbursement Allowance Taxes.

This provision is similar to SB 167 (2015), HB 760 (2015), and SB 294 (2015).


Under this act, if the Missouri Medicaid Audit and Compliance Unit (MMAC) changes any interpretation or application of the requirements for reimbursement for MO HealthNet services from the interpretation or application previously applied in an audit of a MO HealthNet provider, the MMAC shall notify MO HealthNet providers of such change at least five days before the changes take effect. If the MMAC fails to notify a provider of such changes, then the provider shall be entitled to receive and retain reimbursement until proper notification is provided and shall not be liable for recoupment or other loss of any payment previously made prior to the five day notice period.

This provision is similar to SB 431 (2015) and HB 589 (2015). This provision is similar to a provision in HCS/HB 796 (2015).


This act also prohibits MO HealthNet from recovering Disproportionate Share Hospital audit recoupments from any Tier I safety net hospital which used an intergovernmental transfer for its share of Disproportionate Share Hospital payments. This provision expires September 30, 2022.

This provision is similar to a provision in HCS/HB 760 (2015).


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