LC 1894 Legislature · 2025 Regular Session

Revise laws relating to health insurance claims submitted to the department of public health and human insurances

This bill requires health insurance providers and related entities in Montana to accept claims submitted by the Department of Public Health and Human Services for Medicaid services, even if the claim lacks prior authorization or proper documentation at the time of service. The law mandates that these entities cannot deny such claims solely based on submission date, claim format, or missing paperwork, provided the claim is filed within three years of the service and enforcement actions begin within six years. Additionally, the bill clarifies that these requirements do not force insurers to pay for non-covered services or create new financial obligations beyond what they already owe under existing contracts.
Bill status introduced 1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 22, 2024 Last action Feb 17, 2025
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