SJR 23 – CaliforniaStatus: Enacted
Year Introduced: 2018
Health care coverage for active military, veterans, and their families: This resolution urges a resolution between the federal Centers for Medicare and Medicaid Services and TRICARE to immediately restore data sharing and to waive the one-year timely filing restriction for all claims by TRICARE. This resolution claims that TRICARE’s timely filing limitation precludes Medicaid from billing a claim that should be TRICARE’s responsibility if the service was rendered more than one year prior, resulting in additional annual costs shifting to California and other states. The resolution also claims that the lack of data sharing has led to millions of dollars annually paid in claims that should have been TRICARE’s responsibility, not Medicaid managed care organizations, resulting in even more cost shifting to the states and leading to improper Medicaid capitation payments.
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