General Assembly SubstituteRaised Bill No.

821 January Session, 2019 ANLCO ACTNo. CONCERNING EQUITABLE MEDICAID REIMBURSEMENT FOR FEDERALLY QUALIFIED HEALTH CENTER PRACTITIONERS.

3694 Referred to Committee on HUMAN SERVICES Introduced by:

(HS) AN ACT CONCERNING EQUITABLE MEDICAID REIMBURSEMENT FOR FEDERALLY QUALIFIED HEALTH CENTER PRACTITIONERS.

(a) The Commissioner of Social Services shall, consistent with federal law, make changes to the cost-based reimbursement methodology in the Medicaid program for federally qualified health centers.

[On or before January 1, 2008, the commissioner shall report to the joint standing committees of the General Assembly having cognizance of matters relating to appropriations and the budgets of state agencies and human services on the status of the changes to the cost-based reimbursement methodology.] PaymentLCO forNo. electronic consulting provided by a qualified primary care or treating practitioner at a federally qualified health center shall be a permissible component within the federally mandated Medicaid prospective payment methodology for federally qualified health centers.

LCO3694 \\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00821-R011 of 2 SB.docxRaised Substitute Bill No.

821 This(b) actThe Commissioner of Social Services shall takeequalize effectMedicaid asreimbursement followsrates andfor shallelectronic amendconsulting by primary care or treating practitioners at federally qualified health centers with the followingMedicaid sections:rates for such consulting for other primary care or treating practitioners in addition to paying such centers a fixed fee per patient visit.

SectionThis 1act Julyshall 1,take 2019effect 17b-245bas HSfollows Jointand Favorableshall Subst.amend the following sections:

{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00821-Section LCO1 R01-SB.docxJuly }1, 22019 17b-245b Statement of 2Purpose:

To equalize Medicaid rates for primary care or treating practitioners at federally qualified health centers for electronic consultation services with such rates for other primary care or treating practitioners and to pay such rates in addition to fixed fees per patient visit.

[Proposed deletions are enclosed in brackets.

Proposed additions are indicated by underline, not underlined.] the entire text of a bill or resolution or a section of a bill or resolution is new, it is LCO No.

3694 2 of 2