House Bill (S)

Authored by

Sponsored by

DIGEST

FSSA matters. Allows a Medicaid recipient who is incarcerated to have the recipient's Medicaid suspended for up to two years instead of one year before terminating the recipient's Medicaid eligibility. Defines "comprehensive risk contract" and "managed care organization" for purposes of Medicaid. Specifies that if a provision of Indiana insurance law conflicts with the administration of a law applying to a managed care organization with respect to the managed care organization's Medicaid responsibilities, the law applying to the managed care organization with respect to the Medicaid responsibilities is controlling. Changes language in the Medicaid law to reflect the existence of FSSA matters. Allows a Medicaid recipient who is incarcerated to have the recipient's Medicaid suspended for up to two years instead of one year before terminating the recipient's Medicaid eligibility. Defines "comprehensive risk contract" and "managed care organization" for purposes of Medicaid. Specifies that if a provision of Indiana insurance law conflicts with the administration of a law applying to a managed care organization with respect to the managed care organization's Medicaid responsibilities, the law applying to the managed care organization with respect to the Medicaid responsibilities is controlling. Changes language in the Medicaid law to reflect the existence of more than one risk based managed care program. Removes obsolete references to "primary care case management". Removes references to "insurer", "insurance", and "health maintenance organization" in the law concerning the healthy Indiana plan (plan) to reflect the sole use of managed care organizations to provide coverage under the plan. Allows the secretary of the office of family and social services to determine the amount, based on the individual's annual household income per year, that an individual must continue to contribute to the individual's health care account in order to participate in the plan. Requires that the federal government approve the contribution amount determined by the secretary. Makes conforming amendments. Makes a technical correction to a federal Code citation. ... View more