HB17-1139 - Medicaid Provider Compliance Billing Safety Rules

Passed/Signed into Law
Concerning improving medicaid client protections through effective enforcement of medicaid provider requirements.

The bill subjects a provider of medicaid services to a civil monetary penalty if the provider improperly bills or seeks collection from a medicaid recipient or the estate of a medicaid recipient. The provider is also liable for a refund to the recipient of any amount unlawfully received from the recipient, including statutory interest, and for all amounts submitted to a collection agency in the name of the recipient. If, within 30 days, a provider voids the bill, returns any amounts unlawfully received, and makes every effort to resolve the collection action for the recipient, the provider is not subject to the penalties outlined in the bill. A provider is not subject to the penalties outlined in the bill if a person knowingly misrepresents his or her medicaid coverage status to the provider and the provider submits documentation relating to the misrepresentation. A provider may appeal the imposition of a civil monetary penalty.

In addition, the bill allows the department of health care policy and financing (department) to require a corrective action plan from any provider who fails to comply with rules, manuals, or bulletins issued by the department, the medical services board, or the department's fiscal agent or from a provider whose activities endanger the health, safety, or welfare of a medicaid recipient.

(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)


Latest update: June 6, 2017
06/06/2017 - Governor Signed
05/18/2017 - Sent to the Governor
05/18/2017 - Signed by the President of the Senate
05/17/2017 - Signed by the Speaker of the House
05/04/2017 - Senate Third Reading Passed - No Amendments
05/03/2017 - Senate Second Reading Passed - No Amendments
05/01/2017 - Senate Committee on State, Veterans, & Military Affairs Refer Unamended - Consent Calendar to Senate Committee of the Whole
04/27/2017 - Introduced In Senate - Assigned to State, Veterans, & Military Affairs
04/27/2017 - House Third Reading Passed - No Amendments
04/26/2017 - House Second Reading Passed with Amendments - Committee, Floor
04/21/2017 - House Committee on Public Health Care & Human Services Refer Amended to House Committee of the Whole
04/18/2017 - House Committee on Public Health Care & Human Services Witness Testimony and/or Committee Discussion Only
02/01/2017 - Introduced In House - Assigned to Public Health Care & Human Services