Bill > S586

This bill aims to ensure fair reimbursement under the Medicaid program for services performed in ambulatory surgery centers (ASCs). It requires the Department of Health and Human Services, Division of Health Benefits (DHB) to set and adjust rates for new services provided by ASCs so that they are reimbursed at 95% of the Medicare ASC fee schedule. The bill also addresses the new procedure code G0330, mandating that DHB reimburse ASCs for services billed under this code at 95% of the Medicare Part B Hospital Outpatient Prospective Payment System (OPPS) rate, and that standard benefit plans and BH IDD tailored plans cover these procedures. Additionally, the bill appropriates recurring funds from the General Fund and federal funds to the DHB to implement these changes.