Bill Summary for H 425 (2011-2012)

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Summary date: 

Mar 22 2011

Bill Information:

View NCGA Bill Details2011-2012 Session
House Bill 425 (Public) Filed Tuesday, March 22, 2011
TO AUTHORIZE LOCAL PUBLIC HEALTH DEPARTMENTS TO BILL MEDICAID THROUGH AN APPROVED MEDICAID CLEARINGHOUSE OR THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF PUBLIC HEALTH.
Intro. by Barnahrt.

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Bill summary

Identical to S 245, filed 3/7/11.

Amends GS 130A-45.01 to add definitions for the following terms as used in proposed GS 130A-45.14, local health department billing of Medicaid, (1) aggregate data, (2) encounter level data, and (3) public health program services. Defines Health Information System (HIS) to mean the system operated by the North Carolina Division of Public Health and used by local health departments to record information about services the local health departments provide.
Enacts new GS 130A-45.14 to permit local health departments to bill public health program services to Medicaid by submitting claim data (1) to HIS and manage 837/835 billing files within HIS; or (2) to any approved Medicaid clearinghouse and manage 837/835 billing files within that system. Provides additional criteria regarding requirements for local health departments and reimbursement rates. Effective October 1, 2011.