Senate File 11 - Introduced





                                       SENATE FILE       
                                       BY  JOHNSON


    Passed Senate, Date               Passed House,  Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act relating to establishing a process for reimbursement of
  2    nonparticipating providers for eligible services provided to
  3    IowaCare program members.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 1407XS 83
  6 pf/nh/14

PAG LIN



  1  1    Section 1.  NONPARTICIPATING PROVIDER == IOWACARE ==
  1  2 REIMBURSEMENT FOR SERVICES AND TREATMENT PROVIDED TO A MEMBER.
  1  3 The department of human services shall develop a process to
  1  4 reimburse nonparticipating providers under the IowaCare
  1  5 program pursuant to chapter 249J for eligible services
  1  6 provided to expansion population members if the
  1  7 nonparticipating provider documents that the medical status of
  1  8 the expansion population member indicates it is not medically
  1  9 possible to postpone treatment or to transfer the expansion
  1 10 population member to the location of a participating provider
  1 11 for treatment.
  1 12                           EXPLANATION
  1 13    This bill directs the department of human services to
  1 14 develop a process to reimburse nonparticipating providers
  1 15 under the IowaCare program pursuant to Code chapter 249J for
  1 16 eligible services provided to expansion population members if
  1 17 the nonparticipating provider documents that the medical
  1 18 status of the expansion population member indicates it is not
  1 19 medically possible to postpone treatment or to transfer the
  1 20 expansion population member to the location of a participating
  1 21 provider for treatment.
  1 22 LSB 1407XS 83
  1 23 pf/nh/14