HB 237, MDA’s bill to reform Medicaid audits, passed the Legislature on April 18. Gov. Steve Bullock's health care advisor said that the Governor may veto the bill, due to opposition by DPHHS. MDA is urging dentists to call the Governor's office and ask that he sign the bill. Call his office at (406) 444-3111 before April 23.
The bill places limits on records requests, time limits for audit completion, bars use of extrapolation except in cases of high risk providers, requires review by peers or experts, and requires reimbursement of a provider's legal costs if an audit is challenged and overturned. It’s sponsored by Rep. Al Olszewski (R-Kalispell), an orthopedic surgeon.
MDA president Dr. Chris Hirt, Helena pediatric dentist Dr. Kevin Rencher, MDA vice president Dr. Jane Gillette, Missoula pediatric dentist Dr. Susan Tiede and Greg Gould, MDA’s attorney, testified at a hearing before the Senate Public Health, Welfare, and Safety Committee on March 13.
MDA was supported by the Montana Hospital Association, Medical Association, optometrists, nursing homes, community clinics, podiatrists, dental hygienists, physical therapists, and other small health care practices. The only opposition was from the Department of Public Health and Human Services.