HB 1491-FN – AS INTRODUCED
2014 SESSION
01/04
HOUSE BILL 1491-FN
AN ACT relative to certain transportation companies under the Medicaid managed care program.
SPONSORS: Rep. Martel, Hills 44; Rep. Kotowski, Merr 24; Rep. Meaney, Hills 6
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires the commissioner of the department of health and human services to submit a state plan amendment to the federal Centers for Medicare and Medicaid Services for the purpose of changing the miles paid for by the state to transportation companies transporting patients to medical appointment so that the transportation company will be liable for the cost of the first 2 miles and the state will be liable for the miles thereafter. Currently the transportation company is liable for the cost of the first 5 miles of transportation. This bill also seeks to exclude all transportation companies which have been in business for 5 years or longer from the Medicaid managed care program requirements.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
14-2372
01/04
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Fourteen
AN ACT relative to certain transportation companies under the Medicaid managed care program.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Medicaid Managed Care Program; Transportation Services. Amend RSA 126-A:5 by inserting after paragraph XXII the following new paragraph:
XXIII. The commissioner shall prepare and submit a Title XIX Medicaid state plan amendment to the federal Centers for Medicare and Medicaid Services for the purpose of requiring the transportation company to be liable for the cost of the first 2 miles of transportation costs for transporting patients to medical appointments under the Medicaid managed care program. The commissioner shall also include as part of the amendment a request that all transportation companies which have been in business 5 years or longer be excluded from the Medicaid managed care program requirements.
2 Effective Date. This act shall take effect 60 days after its passage.
LBAO
14-2372
11/26/13
HB 1491-FN - FISCAL NOTE
AN ACT relative to certain transportation companies under the Medicaid managed care program.
FISCAL IMPACT:
The Department of Health and Human Services states this bill, as introduced, will have an indeterminable fiscal impact on state expenditures in FY 2014 and each year thereafter. There will be no fiscal impact on state, county or local revenue, or county and local expenditures.
METHODOLOGY:
The Department of Health and Human Services states this bill would require the Department to submit a Title XIX Medicaid State Plan Amendment to make the transportation company liable for the first two miles of Medicaid patient transportation, and exempt transportation companies that have been in business for more than five years from the Medicaid managed care program requirements. The Department states the rates for transportation are included in the overall capitated rate paid to managed care companies (MCOs) under contract with state to provide comprehensive health coverage to Medicaid recipients. The Department indicates payments outside of the capitated rates are prohibited by federal regulation and, if the legislation requires payments to be calculated differently, the contract between the MCO and the transportation would require a contract amendment and rate adjustment. Concerning the exemption for providers in business for more than five years, the Department states transportation vendors enter into provider contracts with the MCOs and the terms of the contracts are negotiable between the parties. The Department further states there is no requirement that the providers contract with the MCOs and, if they choose to, they are free to negotiate the terms of the contract.