House File 2501 H-8496 Amend House File 2501 as follows: 1 1. Page 111, after line 12 by inserting: 2 < DIVISION ___ 3 MEDICAID REIMBURSEMENT POLICIES FOR INPATIENT CARE 4 Sec. ___. MEDICAID REIMBURSEMENT POLICIES. 5 1. The department of human services shall amend 441 IAC 6 79.1(5)(g)(5) relating to the billing for patient transfers 7 and readmissions for inpatient readmissions within 30 days for 8 the same condition, to define “same condition” as the same 9 Medicare severity diagnosis related groups (MS-DRG) code. 10 Planned admissions for conditions including but not limited 11 to transplant, dialysis, pregnancy, rehabilitation care, and 12 chemotherapy shall be excluded from this reimbursement policy. 13 2. If a Medicaid member is enrolled with a managed care 14 organization or changes the member’s managed care organization 15 at any point during an inpatient stay, the managed care 16 organization effective at admission is responsible for the 17 reimbursement for the admission, not to exceed 60 calendar days 18 after disenrollment of the member. 19 Sec. ___. EFFECTIVE DATE. This division of this Act, being 20 deemed of immediate importance, takes effect upon enactment. 21 Sec. ___. RETROACTIVE APPLICABILITY. This division of this 22 Act applies retroactively to April 1, 2016. > 23 2. By renumbering as necessary. 24 ______________________________ WESSEL-KROESCHELL of Story -1- HF2501.5739 (3) 87 pf/rn 1/ 1 #1. #2.