Bill > SB1568

This bill modifies provisions of law concerning administrative remedies within MO HealthNet cases, which is Missouri's Medicaid program. It expands the entities involved in these administrative processes to include the Missouri Medicaid Audit and Compliance Unit, alongside existing divisions like the Family Support Division, Children's Division, and MO HealthNet Division. The bill clarifies appeal rights for applicants and recipients of benefits and services, specifying timelines for requesting appeals after decisions are made or proposed. Importantly, it outlines conditions under which benefits or services will continue during an appeal, with exceptions for certain cases and when an appeal is requested after a case has been closed or modified. The bill also addresses appeals for providers seeking reimbursement or challenging program participation, establishing that claims under five hundred dollars can be accumulated before an appeal is filed with the Administrative Hearing Commission, and it modifies rules regarding stay orders for providers appealing to the Administrative Hearing Commission, particularly concerning federal funding.

Health and Social Services

https://www.senate.mo.gov/26info/BTS_Web/Bill.aspx?SessionType=R&BillID=1584503