Working to transform the child welfare system.

SB 5246: Concerning reimbursement for primary care services for Medicaid beneficiaries

SB5246 will require that beginning January 1, 2022, Medicaid payment for primary care services that are reimbursed solely at the existing medical assistance rates, on a fee-for-service basis as well as through managed health care systems, must be at least 15 percent above medical assistance rates as in effect on January 1, 2019.

Beginning January 1, 2022, Medicaid payment for pediatric critical care, neonatal critical care, and neonatal intensive care services that are reimbursed solely at the existing medical assistance rates, on a fee-for-service basis as well as through managed health care systems, must be at least 21 percent above medical assistance rates as in effect on January 1, 2019.

The authority must apply reimbursement rates in a manner consistent with the temporary increase in Medicaid reimbursement rates under federal rules.