Medicaid Audit Bill is MDA Legislative Priority

As the Montana Legislature enters its second month, MDA is making progress on its bill (HB 237) to reform the Medicaid audit process. MDA legislation to increase Medicaid reimbursements for preventive services is being considered in the Joint Appropriations Committee on Health and Human Services. Another reimbursement bill ( HB 238 ) providing an annual CPI-indexed increase for Medicaid dental rates, was tabled in the House Human Services Committee.


State Rep. Albert Olszewski is sponsoring MDA’s Medicaid audit reform bill, HB 237, and HB 238, a bill to increase dental Medicaid reimbursement. He attended the January 23 MDA Dental Day at the Legislature luncheon with Dr. Dave Kiem, MDA president–elect.

HB 237, sponsored by Rep. Albert Olszewski (R- Kalispell), an orthopedic surgeon, will create fair and reasonable standards for Medicaid overpayment audits of providers, including healthcare facilities, clinics, small medical and dental practices and other health care providers. It is moving through the House Human Services Committee.

MDA president Dr. Chris Hirt, Helena pediatric dentist Dr. Kevin Rencher, MDA vice president Dr. Jane Gillette and Missoula pediatric dentist Dr. Susan Tiede testified at the committee hearing on January 21. The bill was supported by hospitals, community clinics, dentists, physicians, optometrists, podiatrists, dental hygienists, nursing homes, and other small health care practices. The only opposition was voiced by DPHHS.

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