Effective: October 17, 2019
Latest Legislation: House Bill 166 – 133rd General Assembly
When a medicaid managed care organization’s enrollee receives emergency services on or after January 1, 2007, from a provider that is not under contract with the organization, the provider shall accept from the organization, as payment in full, not more than the amounts (less any payments for indirect costs of medical education and direct costs of graduate medical education) that the provider could collect if the enrollee received medicaid other than through enrollment in a medicaid MCO plan.
An agreement entered into by an enrollee, an enrollee’s parent, or an enrollee’s legal guardian that requires payment for emergency services in violation of this section is void and unenforceable.