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Digest
SB 1112 amends the Human Resources Code to clarify how Medicaid determines fees, charges, and rates for medical assistance. Specifically, it requires that Medicaid exclude fees from membership-based discount programs when determining the usual and customary rates for services. This aims to ensure that Medicaid reimbursements reflect standard pricing in the healthcare market. If federal approval is needed for implementation, the state agency overseeing Medicaid must request the necessary waivers.
Author (1)
Bryan Hughes