Iowa HF2053 standardizes claim submission and reimbursement processes for managed care organizations administering the medical assistance program.

Iowa HF2053 mandates the Department of Health and Human Services to establish a standardized claim submission and reimbursement process for managed care organizations. This process will apply to all medical and health services provided under the medical assistance program starting July 1, 2027. The bill requires the department to consider efficiency, compliance with federal law, and funding levels when setting the reimbursement process. Existing managed care contracts must be amended to adhere to this new standardized process.

Iowa HF2053 standardizes claim submission and reimbursement processes for managed care organizations administering the medical assistance program.

Iowa HF2053 mandates the Department of Health and Human Services to establish a standardized claim submission and reimbursement process for managed care organizations. This process will apply to all medical and health services provided under the medical assistance program starting July 1, 2027. The bill requires the department to consider efficiency, compliance with federal law, and funding levels when setting the reimbursement process. Existing managed care contracts must be amended to adhere to this new standardized process.