H-8496

   Amend House File 2501 as follows:
   1.  Page 111, after line 12 by inserting: 
<DIVISION ___
MEDICAID REIMBURSEMENT POLICIES FOR INPATIENT CARE

   Sec. ___.  MEDICAID REIMBURSEMENT POLICIES.
   1.  The department of human services shall amend 441 IAC 79.1(5)(g)(5) relating to the billing for patient transfers and readmissions for inpatient readmissions within 30 days for the same condition, to define “same condition” as the same Medicare severity diagnosis related groups (MS-DRG) code. Planned admissions for conditions including but not limited to transplant, dialysis, pregnancy, rehabilitation care, and chemotherapy shall be excluded from this reimbursement policy. 
   2.  If a Medicaid member is enrolled with a managed care organization or changes the member’s managed care organization at any point during an inpatient stay, the managed care organization effective at admission is responsible for the reimbursement for the admission, not to exceed 60 calendar days after disenrollment of the member. 
   Sec. ___.  EFFECTIVE DATE.  This division of this Act, being deemed of immediate importance, takes effect upon enactment.
   Sec. ___.  RETROACTIVE APPLICABILITY.  This division of this Act applies retroactively to April 1, 2016.>
   2.  By renumbering as necessary.

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WESSEL-KROESCHELL of Story