Text: HF00644 Text: HF00646 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. Section 249A.12, subsections 2 and 3, Code
1 2 1999, are amended to read as follows:
1 3 2. A county shall reimburse the department on a monthly
1 4 basis for that portion of the cost of assistance provided
1 5 under this section to a recipient with legal settlement in the
1 6 county, which is not paid from federal funds, if the
1 7 recipient's placement has been approved by the appropriate
1 8 review organization as medically necessary and appropriate. A
1 9 county of legal settlement which has paid the service provider
1 10 directly for that portion of the cost of assistance which is
1 11 not paid from federal funds pursuant to section 249A.26 shall
1 12 not be required to reimburse the state for the amount paid.
1 13 The department's goal for the maximum time period for
1 14 submission of a claim to a county is not more than sixty days
1 15 following the submission of the claim by the provider of the
1 16 service to the department. The department's goal for
1 17 completion and crediting of a county for cost settlement for
1 18 the actual costs of a home and community-based waiver service
1 19 is within two hundred seventy days of the close of a fiscal
1 20 year for which cost reports are due from providers. The
1 21 department shall place all reimbursements from counties in the
1 22 appropriation for medical assistance, and may use the
1 23 reimbursed funds in the same manner and for any purpose for
1 24 which the appropriation for medical assistance may be used.
1 25 3. If a county reimburses the department for medical
1 26 assistance provided under this section or pays the service
1 27 provider directly pursuant to section 249A.26 and the amount
1 28 of medical assistance is subsequently repaid through a medical
1 29 assistance income trust or a medical assistance special needs
1 30 trust as defined in section 633.707, the department shall
1 31 reimburse the county on a proportionate basis. The department
1 32 shall adopt rules to implement this subsection.
1 33 Sec. 2. Section 249A.26, Code 1999, is amended by adding
1 34 the following new subsection:
1 35 NEW SUBSECTION. 4. If a county of legal settlement is
2 1 liable in whole or part for the nonfederal share of medical
2 2 assistance funding of the costs of a service provided to a
2 3 person with mental illness, or mental retardation or other
2 4 developmental disability, the service provider may bill the
2 5 county directly for the amount of the county's liability. The
2 6 county's payment of the liability amount to the service
2 7 provider shall be deemed to discharge the county
2 8 responsibility to reimburse the state for that liability.
2 9 EXPLANATION
2 10 This bill authorizes a provider of medical assistance for
2 11 mental health and mental retardation services for which the
2 12 nonfederal share is a county liability to bill the liability
2 13 amount directly to the county. The bill amends Code chapter
2 14 249A, relating to medical assistance (Medicaid), to allow for
2 15 county payment of the direct billing by the provider in lieu
2 16 of reimbursing the state.
2 17 LSB 1546HH 78
2 18 jp/sc/14
Text: HF00644 Text: HF00646 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
© 1999 Cornell College and League of Women Voters of Iowa
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