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MS HB503

MS HB503
Medicaid; revise calculation of reimbursement for durable medical equipment (DME).


summary

Introduced
01/10/2025
In Committee
01/10/2025
Crossed Over
Passed
Dead
02/04/2025

Introduced Session

2025 Regular Session

Bill Summary

An Act To Amend Section 43-13-117, Mississippi Code Of 1972, To Revise The Calculation Of Medicaid Reimbursement For Durable Medical Equipment; And For Related Purposes.

AI Summary

This bill revises the calculation of Medicaid reimbursement for durable medical equipment (DME) in Mississippi. Specifically, the bill modifies how the state will determine payment for newly purchased DME by establishing a statewide uniform fee schedule. Under the new provision, payment for new DME will be the lesser of the provider's usual and customary charge or a fee calculated using 100% of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Rural Fee Schedule in effect on January 1 of each year. This fee schedule will be updated annually on January 1 and will be effective for services provided on or after that date. The change aims to provide a consistent and transparent method for reimbursing DME providers under the Medicaid program, ensuring that payments are aligned with Medicare's rural fee schedule rates. The bill will take effect on July 1, 2025, giving providers and the state time to prepare for the new reimbursement methodology.

Committee Categories

Agriculture and Natural Resources

Sponsors (2)

Last Action

Died In Committee (on 02/04/2025)

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