1. (a) This section applies to claims submitted for payment under the program by a nursing facility participating in the program.

2. (b) The managed care organization shall pay, deny, or suspend each claim submitted by a nursing facility provider for payment under the program not later than:

   1. (1) twenty-one (21) days after the claim was electronically filed; or

   2. (2) thirty (30) days after a claim has been filed on paper;

      from receipt by the managed care organization.

3. (c) If the managed care organization:

   1. (1) fails to pay a clean claim in the time required under this section; or

   2. (2) denies or suspends a claim that is subsequently determined to have been a clean claim when the claim was filed;

      the managed care organization shall pay the provider interest on the Medicaid allowable amount of the claim as set forth in this section.

4. (d) Interest paid under subsection (c):

   1. (1) accrues beginning:

      1. (A) twenty-two (22) days from the date the claim is filed under subsection (b)(1); or
      2. (B) thirty-one (31) days from the date the claim is filed under subsection (b)(2); and
   2. (2) stops accruing on the date the managed care organization pays the claim.
5. (e) A managed care organization shall pay interest under subsection
6. (c) to a provider at the rate established for Medicare overpayments and underpayments, as set forth in 42 CFR 405.378.

As added by P.L.174-2025, SEC.41.