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House panel approves more oversight of Medicaid managed care companies

February 21, 2013 | | Comments 0
House Speaker Greg Stumbo, D-Prestonsburg

House Speaker Greg Stumbo, D-Prestonsburg

By Beth Musgrave
bmusgrave@herald-leader.com

FRANKFORT — Hospitals and doctors could take complaints about Medicaid managed care companies to the state Department of Insurance under a measure passed by a House committee Thursday.

House Speaker Greg Stumbo, D-Prestonsburg, filed House Bill 5 after hospitals, doctors and other health care providers complained that companies managing the care of Kentucky Medicaid recipients have been too slow to resolve payment disputes.

Stumbo told the House Health and Welfare Committee that the bill would allow those providers to take their complaints to the Department of Insurance, which regulates disputes between private insurance companies and providers. The state contracted with three managed care companies in November 2011 to manage care for more than 570,000 Medicaid patients. Medicaid is a state-federal insurance program for the poor, disabled and elderly.

Currently, there is little recourse for a provider who has a dispute with a Medicaid managed care company.

“They are entitled to be paid and they are entitled to be paid quickly,” Stumbo said. “This won’t cost the state anything.”

No one spoke in opposition to the bill. House Bill 5 now moves to the House for consideration.

Filed Under: Greg StumboKY General AssemblyState Government

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