Sec. 4. Assurance of payment under Medicaid and CHIP for covered items and services furnished by certain school-based health centers
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/bill/115/hr/1027/ih/section-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396a(a) ) is amended— in paragraph (82), by striking and after the semicolon; in paragraph (83)(B)(ii), by striking the period at the end and inserting ; and ; and by inserting after paragraph
(83)the following new paragraph: provide that the State shall certify to the Secretary that the State has implemented procedures to pay for medical assistance (including care and services described in subsections (a)(4)(B) and
(r)of section 1905 and provided in accordance with section 1902(a)(43)) furnished in a school-based health center (as defined in section 2110(c)(9)), if payment would be made under the State plan for the same items and services if furnished in a physician's office or other outpatient clinic (including if such payment would be included in the determination of a prepaid capitation or other risk-based rate of payment to an entity under a contract pursuant to section 1903(m)). . Section 2107(e)(1) of the Social Security Act ( 42 U.S.C. 1397gg(e)(1) ) is amended— by redesignating subparagraphs
(G)through
(R)as subparagraphs
(H)through (S), respectively; and by inserting after subparagraph (F), the following new subparagraph: Section 1902(a)(84) (relating to procedures to ensure payment for covered services furnished in a school-based health center). . The amendments made by this section take effect on October 1, 2017.
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Sec. 4
Assurance of payment under Medicaid and CHIP for covered items and services furnished by certain school-based health centers
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