Sec. 619. Authority for alternative payment methodologies
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/bill/113/s/1782/is/section-619·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
A State health security program, as part of its plan under section 404(a), may use a payment methodology other than a methodology required under this subtitle so long as— such payment methodology does not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the program, or the compliance of the program with the State health security budget under subtitle A; and the program submits periodic reports to the Board showing the operation and effectiveness of the alternative methodology, in order for the Board to evaluate the appropriateness of applying the alternative methodology to other States.