Medicaid payment for primary care services that are reimbursed solely at the existing medical assistance rates, including pediatric care and family medicine, must be at a rate not less than seventy-five percent of the payment rate that applies to those services and providers under Medicare.
Requires the HCA to direct Medicaid managed care plans to increase primary care rates using a minimum fee schedule.
Ways and Means amendments:
Removes the requirement that Medicaid payments be set at a level no lower than 75% of Medicaid and instead requires Medicaid payments be at least 15% above 2019 reimbursement rates. Applies the rate increase to osteopathic physicians and physician assistants, and naturopaths, in addition to physicians and ARNPs.
Requires Medicaid payment for pediatric critical care, neonatal critical care, and neonatal intensive care services that are reimbursed solely at the existing medical assistance rates to be at least 21% above medical assistance rates in effect on January 1, 2019