Medicaid program; miscellaneous Medicaid provisions--increased state flexibility--Health Care Financing Administration. Interim final rule with comment period.
This rule amends current Medicaid regulations to implement several provisions of the Omnibus Budget Reconciliation Act of 1981 (Pub. L. 97-35). Those provisions give State agencies increased flexibility in the administration of their Medicaid programs. The following subjects and sections of the law are included in these amendments: I. Removal of reasonable charge limits that apply to reimbursement for the services of practitioners such as physicians, and for other noninstitutional services and items such as medical supplies and laboratory services (Section 2174); II. Removal of the requirement for collection of third party payments when the amount of reimbursement that the State expects to recover exceeds the cost of recovery (Section 2182); III. Permitting physician assistants and nurse practitioners to recertify the need for continued inpatient care for patients in institutions and extending the period of time for recertification from 60 days to 12 months in certain facilities for the mentally retarded or persons with related conditions (section 2183). In addition, this rule includes technical amendments that add the Northern Mariana Islands to the States and territories participating in the Medicaid program (Section 2162).
D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D014481:United States