107 STAT. 608 PUBLIC LAW 103-66—AUG. 10, 1993 101 Stat. 1330-65. 98 Stat. 1103. 42 USC 1395h note. 42 USC 1395mm note. SEC. 13567. EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZATION DEMONSTRATIONS. (a) EXTENSION OF CURRENT WAIVERS.— Section 4018(b) of OBRA-1987, as amended by section 4207(b)(4)(B) of OBRA-1990, is amended— (1) in paragraph (1) by striking "December 31, 1995" and inserting "December 31, 1997"; and (2) in paragraph (4) by striking "March 31, 1996" and inserting "March 31, 1998". (b) EXPANSION OF DEMONSTRATIONS.— Section 2355 of the Deficit Reduction Act of 1984 is amended— (1) in the last sentence of subsection (a) by striking "12 months" and inserting "36 months"; and (2) in subsection (b)(l)(B)— (A) by striking "oi^' at the end of clause (iii); and (B) by redesignating clause (iv) as clause (v) and inserting after clause (iii) the following new clause: "(iv) integrating acute and chronic c£ure management for patients with end-stage renal disease through expanded community care case management services (and for purposes of a demonstration project conducted under this clause, any requirement under a waiver granted under this section that a project disenroU individuals who develop end-stage renal disease shall not apply); or". (c) EXPANSION OF NUMBER OF MEMBERS PER SITE.— The Secretary of Health and Human Services may not impose a limit of less than 12,000 on the number of individuals that may participate in a project conducted under section 2355 of the Deficit Reduction Act of 1984. (d) EFFECTIVE DATE.— The amendments made by this section shall take efiect as if included in the enactment of OBRA-1990. SEC. 13568. TIMING OF CLAIMS PAYMENT. (a) IN GENERAL. —Sections 1816(c)(3)(B) (42 U.S.C. 1395h(c)(3)(B)) and 1842(c)(3)(B) (42 U.S.C. 1395u(c)(3)(B)) are each amended by striking clauses (i) and (ii) and inserting the following: "(i) with respect to claims submitted electronically as prescribed by the Secretary, 13 days, and "(ii) with respect to claims submitted otherwise, 26 days.". (b) TIME LIMIT OF 30 DAYS FOR CLEAN CLAIMS.— Sections 1816(c)(2)(B)(ii) (42 U.S.C. 1395h(c)(2)(B)(ii)) and 1842(c)(2)(B)(ii) (42 U.S.C. 1395u(c)(2)(B)(ii)) are each amended— (1) in subclause (IV), by striking "period," and inserting "period ending on or before September 30, 1993,", and (2) by adding at the end the following new subclause: "(V) with respect to claims received in the 12-month period beginning October 1, 1993, and claims received in any succeeding 12-month period, 30 calendar days.". (c) EFFECTIVE DATE.—The amendments made by this section shall apply to claims received on or after October 1, 1993. SEC. 13668. EXTENSION OF WAIVER FOR WATTS HEALTH FOUNDATION. Section 9312(c)(3)(D) of OBRA-1986, as added by section 4018(d) of OBRA-1987 and as amended by section 6212(a)(l) of OBRA-1989, is amended by striking "1994* and inserting "1996".
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