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A BILL TO BE ENTITLED
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AN ACT
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relating to the period for filing a claim for reimbursement for |
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certain ancillary services under the Medicaid program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0317 to read as follows: |
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Sec. 32.0317. PERIOD FOR FILING REIMBURSEMENT CLAIMS BY |
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CERTAIN ANCILLARY SERVICE PROVIDERS. (a) In this section, |
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"ancillary service" means a health care service provided or ordered |
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by a physician or other health care provider to supplement or |
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support the evaluation or treatment of a patient, including a |
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diagnostic ultrasound test, laboratory test, cardiac diagnostic |
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test, or radiology service. |
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(b) In adopting rules governing the period for filing claims |
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for reimbursement under the medical assistance program, the |
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executive commissioner shall ensure a provider filing a claim for |
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reimbursement for the provision of an ancillary service to a |
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recipient who is homebound, as defined by rule by the executive |
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commissioner, or who resides in a nursing facility is allowed a |
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period of at least 365 days from the date the ancillary service is |
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provided to file the claim with the commission, the commission's |
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designee, a managed care organization, or other person, as |
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appropriate. |
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SECTION 2. The executive commissioner of the Health and |
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Human Services Commission shall adopt the rules necessary to |
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implement Section 32.0317, Human Resources Code, as added by this |
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Act, not later than October 1, 2017. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect September 1, 2017. |