House File 2483 H-8389 Amend House File 2483 as follows: 1 1. Page 3, after line 29 by inserting: 2 < d. A managed care organization shall provide written 3 notice to all affected individuals at least sixty days prior 4 to a significant change in administrative procedures relating 5 to the scope or coverage of benefits, billings and collections 6 provisions, provider network provisions, member or provider 7 services, prior authorization requirements, or any other terms 8 of a managed care contract or agreement as determined by the 9 department of human services. A managed care organization may 10 comply with the requirement of providing written notice under 11 this paragraph by posting such written notice on the managed 12 care organization’s internet site. 13 e. The department of human services shall engage dedicated 14 provider relations staff to assist Medicaid providers in 15 resolving billing conflicts with managed care organizations 16 including those involving denied claims, technical omissions, 17 or incomplete information. If the provider relations staff 18 observe trends evidencing fraudulent claims or improper 19 reimbursement, the staff shall forward such evidence to the 20 department of human services for further review. 21 f. The department of human services shall adopt rules 22 pursuant to chapter 17A to require the inclusion by a managed 23 care organization of advanced registered nurse practitioners 24 and physician assistants as primary care providers for the 25 purposes of population health management. > 26 ______________________________ HEATON of Henry -1- HF2483.5345 (3) 87 pf/rh 1/ 1 #1.