HB279 Alabama 2023 Session

Summary

Primary Sponsor

Kyle South

Republican

Session

Regular Session 2023

Title

Relating to Medicaid; to amend Section 40-26B-26, Code of Alabama 1975, to revise the circumstances under which the Alabama Medicaid Agency may revise the ceiling for the Medicaid reimbursement rate to nursing facilities during a given fiscal year; and to make nonsubstantive, technical revisions to update the existing code language to current style.

Description

Certain nursing facilities provide health care services to Medicaid patients and are reimbursed at specific rates. The Alabama Medicaid Agency, with guidance from state law, sets by rule the methodology used to establish reimbursement rates and the ceiling for those rates.

Under an existing administrative rule of the Alabama Medicaid Agency, once the ceiling is established, the ceiling may not be revised for that fiscal year except for material error.

This bill would authorize the Alabama Medicaid Agency to revise the ceiling during a fiscal year if nursing facilities are unable to be reimbursed for increases in allowable costs that were required to be expended by nursing facilities due to certain unforeseen circumstances.

This bill would also make nonsubstantive, technical revisions to update the existing code language to current style.

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Subjects

Medicaid, circumstances for revising reimbursement rates to nursing facilities revised