Principle Criteria
Free Enterprise
Property Rights
Personal Responsibility
Limited Government
Individual Liberty
Digest
HB 4585 updates regulations on the submission, payment, and audit of health services claims under Medicaid managed care and the Child Health Plan Program (CHIP). It establishes strict payment deadlines, requiring Medicaid managed care organizations to pay clean claims within 10-45 days, depending on the type of service provided. The bill also mandates transparency in claims processing addresses, appeals procedures, and overpayment recovery rules while prohibiting contracts from waiving these new protections.
Author (1)
Contact the Author
Rep. David Spiller
Capitol Phone:
(512) 463-0526
Capitol Office:
EXT E1.302
E-Mail:
