Kentucky House Bill 787

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Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on February 19 2025 - 25% progression
Action: 2025-02-19 - to Committee on Committees (H)
Pending: House Committee On Committees Committee
Text: Latest bill text (Introduced) [PDF]

Amend KRS 205.533 to require Medicaid managed care organizations to include certain information for providers on their websites; amend KRS 205.534 to require managed care organizations to allow providers 120 days to file an appeal or grievance related to a reduction of denial of a claim; establish penalties for a managed care organization's failure to ensure the timely disposition of any appeal or grievance; require payment of any amount owed to a provider following an appeal to be paid within 30 days; require payments made following an appeal to include 12% interest and reasonable attorney's fees; establish standards and requirements for provider audits; require the inclusion of additional information in the monthly report filed by managed care organizations; require the Department for Medicaid Services to submit an annual report to the Legislative Research Commission related to Medicaid claims, appeals, and grievances; authorize the Department for Medicaid Services to promulgate administrative regulations.

AN ACT relating to Medicaid managed care organizations.

Rep. Kimberly Moser [R]

Date	Chamber	Action
2025-02-19	House	to Committee on Committees (H)
2025-02-19	House	introduced in House

Type	Source
Summary	https://apps.legislature.ky.gov/record/25RS/hb787.html
Text	https://apps.legislature.ky.gov/recorddocuments/bill/25RS/hb787/orig_bill.pdf