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House Bill 1727


House Bill 1727

ARCHIVE (2001)

Latest Information

 

DIGEST OF HB1727 (Updated April 12, 2001 4:45 PM - DI 84)


Medicaid and human services. Establishes the public assistance programs investigative unit within the office of the attorney general to investigate abusive and improper or fraudulent practices in the public assistance programs administered by the office of the secretary of family and social services (FSSA). Requires that an individual who is participating in the community and home options to institutional care for the elderly and disabled (CHOICE) program receive services under a Medicaid waiver, if eligible. Requires FSSA to apply for a federal Medicaid waiver to require enrollees in Medicaid and the children's health insurance program (CHIP) who reside in certain counties to enroll in the risk-based managed care program and, if the waiver is approved, to implement mandatory enrollment in the risk-based managed care program. Increases the assessment on certain ICF/MR facilities from 5% of the facility's annual gross residential services revenue to 6%. Requires the office of Medicaid policy and planning (OMPP) to develop a disease management program to study the provision of health care services to Medicaid recipients with chronic diseases, the cost of those services, and alternative methods of service delivery to provide necessary services at reduced cost. Requires OMPP to report to the health finance commission and the budget committee regarding the disease management programs not later than December 31, 2002. Requires OMPP to develop a program to control Medicaid expenditures for prescription drugs for Medicaid recipients. Requires OMPP to report to the health finance commission and the budget committee regarding the pharmacy cost control program not later than September 1, 2001. Requires the state's rate setting contractor for nursing home case-mix reimbursement to calculate the median for each case-mix component each quarter using all cost reports received by the state or the state's rate setting contractor within 150 days after each provider's fiscal year end. Provides that a Medicaid recipient may not be denied access to or restricted in the use of a prescription drug for the treatment of a mental illness.
Current Status:
 In Conference Committee
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