Bill Text: MS SB2337 | 2013 | Regular Session | Introduced
Bill Title: Medicaid program; provide criteria for reimbursement for inpatient and outpatient services in a critical access hospital.
Sponsorship: Partisan Bill (Republican 1)
Status: (Failed) 2013-02-05 - Died In Committee [SB2337 Detail]
Download: Mississippi-2013-SB2337-Introduced.html
MISSISSIPPI LEGISLATURE
2013 Regular Session
To: Public Health and Welfare; Appropriations
By: Senator(s) Burton
Senate Bill 2337
AN ACT TO AMEND SECTION 41-9-209, MISSISSIPPI CODE OF 1972, TO PROVIDE CRITERIA FOR MEDICAID REIMBURSEMENT FOR INPATIENT AND OUTPATIENT SERVICES PROVIDED IN A LICENSED CRITICAL ACCESS HOSPITAL; AND FOR RELATED PURPOSES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
SECTION 1. Section 41-9-209, Mississippi Code of 1972, is amended as follows:
41-9-209. (1) Any hospital is authorized to seek designation as a critical access hospital. Subject to federal law, there shall be no requirement or limitation regarding the distance that a critical access hospital must be located from another hospital. The bed-size limit for a critical access hospital is twenty-five (25) operational acute care beds, and the average maximum length of stay for patients in a critical access hospital is ninety-six (96) hours, unless a longer period is required because of inclement weather or other emergency conditions. In the event the critical access hospital is a swing bed facility, any of the twenty-five (25) acute care beds allowed in a critical access hospital may be used for the provision of extended care services or acute care inpatient services so long as the furnishing of such services does not exceed twenty-five (25) beds and so long as the hospital does not seek Medicaid reimbursement for more than fifteen (15) acute care inpatient beds. A critical access hospital (a) must make available twenty-four-hour emergency care services, as described in the state rural health care plan, for ensuring access to emergency care services in the rural area served by the critical access hospital, and (b) must be a member of a rural health network. Any hospital that has a distinct-part skilled nursing facility, certified under Title XVIII of the federal Social Security Act, at the time it applies for designation as a critical access hospital, may continue its operation of the distinct-part skilled nursing facility and is not required to count the beds in the distinct-part skilled nursing facility for purposes of the allowed twenty-five (25) acute care inpatient beds. To the extent permitted under Section 41-7-171 et seq., a critical access hospital may establish a distinct-part psychiatric unit and a distinct-part rehabilitation unit, each of which must be certified under Title XVIII of the federal Social Security Act and each of which may consist of no more than ten (10) beds. No bed in the critical access hospital's distinct-part psychiatric unit or distinct-part rehabilitation unit shall be counted for purposes of the twenty-five (25) bed limitation. Each distinct-part unit in a critical access hospital must comply with all applicable state licensure laws and federal certification laws.
(2) The Department of Health and any insurer or managed care program for Medicaid recipients that contracts with the Division of Medicaid for the receipt of federal Social Security Act Title XIX funds shall provide for reimbursement of inpatient and outpatient services provided to Medicaid recipients in a licensed critical access hospital at one hundred one percent (101%) of reasonable cost to include bad debt, in accordance with established reimbursement rates approved by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services for Medicare reimbursement to a licensed critical access hospital. In the case that the Medicare reimbursement rate for a critical access hospital approved by the Centers for Medicare and Medicaid Services changes, reimbursement for Medicaid services provided by a licensed critical access hospital shall likewise change, but shall not fall below one hundred one percent (101%) of reasonable cost.
SECTION 2. This act shall take effect and be in force from and after July 1, 2013.
