Senate Committee Substitute

SCS/SB 29 - This act extends the sunsets from September 30, 2019, to September 30, 2021, for the Ground Ambulance, Nursing Facility, Medicaid Managed Care Organization, Hospital, Pharmacy, and Intermediate Care Facility for the Intellectually Disabled Reimbursement Allowances.

Additionally, this act modifies the Medicaid managed care reimbursement allowance by applying it, beginning July 1, 2020, to all managed care organizations in Missouri, including those providing benefits to MO HealthNet managed care participants. The reimbursement allowance may be imposed on the basis of revenue or enrollment and may impose differential rates on Medicaid and commercial businesses; provided that the commercial rate shall not exceed $1.80 per member per month. The Department of Social Services shall recognize the cost of the reimbursement allowance as a cost in calculating actuarially sound reimbursement rates.

This provision is similar to provisions in HCS/SS/SCS/SB 775 (2018).

Finally, this act adds a definition for "essential safety net hospitals".


Return to Main Bill Page