State news: Oklahoma, Louisiana, New York
By HME News Staff
Updated 10:06 AM CDT, Mon June 14, 2021
The Oklahoma Health Care Authority does not have the authority to implement a managed care plan for the state’s Medicaid system, according to a State Supreme Court ruling. The ruling was cheered by the Oklahoma Medical Equipment Providers Association and other health care providers who have been fighting the proposed move in the state legislature and in the courts. “OMEPA and other health care leaders in Oklahoma have done an exceptional job in spotlighting the potential impacts of the MCO approach on both providers and patients,” said Laura Williard, AAHomecare’s vice president of payer relations. “I’d especially like to acknowledge the persistence of OMEPA President Larry Dalton, Victor Clay of Complete Care Medical and Katie Roberts of Cimarron Medical Services in this fight”…The Louisiana Senate has passed HB 594, a bill that would require insurers, MCOs and other payers to reimburse for ventilators on a continuous monthly rental basis and not cap payments at purchase price. The bill now goes to Gov. John Bel Edwards for his signature…The New York Assembly’s Ways and Means Committee has approved A.5368, a bill that would require Medicaid MCOs to reimburse DME providers at no less than 100% of the state’s published Medicaid DME and CRT fee schedule. The bill now goes to the Rules Committee before heading to the floor for a vote. A companion bill, S.5118, is also eligible for a vote.
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