208.433. Calculation of reimbursement allowance amount — notification of Medicaid managed care organizations — offset permitted, when.

189 words·~1 min read·/mo/chapter-208/208-433

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208.433. Calculation of reimbursement allowance amount — notification of Medicaid managed care organizations — offset permitted, when. — 1. The director of the department of social services shall make a determination as to the amount of Medicaid managed care organization's reimbursement allowance due from each Medicaid managed care organization.

2. The director of the department of social services shall notify each Medicaid managed care organization of the annual amount of its reimbursement allowance. Such amount may be paid in monthly increments over the balance of the reimbursement allowance period.

3. The department of social services may offset the managed care organization reimbursement allowance owed by the Medicaid managed care organization against any payment due that managed care organization only if the managed care organization requests such an offset. The amounts to be offset shall result, so far as practicable, in withholding from the managed care organization an amount substantially equivalent to the reimbursement allowance owed by the managed care organization. The office of administration and state treasurer may make any fund transfers necessary to execute the offset.

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(L. 2005 S.B. 189)

Effective 5-13-05

Expires 9-30-29; see § 208.437