85R19158 KFF-F
 
  By: Miller H.B. No. 2373
 
  Substitute the following for H.B. No. 2373:
 
  By:  Raymond C.S.H.B. No. 2373
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the period for filing a claim for reimbursement for
  certain ancillary services under the Medicaid program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.0317 to read as follows:
         Sec. 32.0317.  PERIOD FOR FILING REIMBURSEMENT CLAIMS BY
  CERTAIN ANCILLARY SERVICE PROVIDERS. (a) In this section,
  "ancillary service" means a health care service provided or ordered
  by a physician or other health care provider to supplement or
  support the evaluation or treatment of a patient, including a
  diagnostic ultrasound test, laboratory test, cardiac diagnostic
  test, or radiology service.
         (b)  In adopting rules governing the period for filing claims
  for reimbursement under the medical assistance program, the
  executive commissioner shall ensure that a provider of an ancillary
  service to a recipient who is homebound, as defined by rule by the
  executive commissioner, or who resides in a nursing facility may
  file a claim for reimbursement for that service with the
  commission, the commission's designee, a managed care
  organization, or other person, as appropriate, on or before the
  270th day after the date the ancillary service is provided.
         SECTION 2.  The executive commissioner of the Health and
  Human Services Commission shall adopt the rules necessary to
  implement Section 32.0317, Human Resources Code, as added by this
  Act, not later than January 1, 2018.
         SECTION 3.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 4.  This Act takes effect September 1, 2017.