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F I S C A L   I M P A C T   R E P O R T

 

 

 

SPONSOR:

Miera

 

DATE TYPED:

02/06/02

 

HB

286

 

SHORT TITLE:

Medicaid Reimbursement For Oriental Medicine

 

SB

 

 

 

ANALYST:

Weber

 

APPROPRIATION

 

Appropriation Contained

Estimated Additional Impact

Recurring

or Non-Rec

Fund

Affected

FY02

FY03

FY02

FY03

 

 

 

 

$0.1

Indeterminate

Recurring

General Fund

 

 

 

 

 

 

(Parenthesis ( ) Indicate Expenditure Decreases)

 

Duplicates SB268

 

SOURCES OF INFORMATION

 

Human Service Department

 

SUMMARY

 

     Synopsis of Bill

 

House Bill 286 proposes doctors of oriental medicine be included as Medicaid providers.  The Human Services Department is expected to establish a reimbursement rate commensurate with the reasonable and customary rate for acupuncture services charged by doctors of oriental medicine nationwide.

 

     Significant Issues

 

Adding to the Medical Assistance Division's (MAD’s) list of eligible providers would create a need for an undetermined amount of new funds.  Medicaid does not reimburse for services provided by a DOM, e.g., acupuncture treatments, herbal remedies, and oriental massage.  MAD would not receive matching funds for the services provided by a DOM.

 

MAD would have to create a new service category, promulgate new regulations, write new billing instructions, and update the Medicaid Management Information System (MMIS) to allow new procedure codes and providers for the new provider type and specialty to be reimbursed.

 

FISCAL IMPLICATIONS

 

Addition of Oriental Medicine may increase Medicaid expense based on more utilization.

 

DUPLICATES

 

SB 268

 

MW/njw


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