Bill Text: HI HB2479 | 2010 | Regular Session | Introduced
Bill Title: Department of Human Services; Medicaid Contracts
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced - Dead) 2010-01-25 - (H) Referred to HUS/HLT, FIN, referral sheet 5 [HB2479 Detail]
Download: Hawaii-2010-HB2479-Introduced.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
2479 |
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TWENTY-FIFTH LEGISLATURE, 2010 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO THE DEPARTMENT OF HUMAN SERVICES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Chapter 103F, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows:
"§103F- Medicaid contracts; health care insurance plan contractors; reimbursements to home and community-based case management agencies. (a) In any contract entered into with a medicaid healthcare insurance plan contractor that provides reimbursement to home and community-based case management agencies, the department of human services shall include contract provisions that specify the duties and obligations of the medicaid health care insurance plan contractor to the home and community-based case management agency, as follows:
(1) When renewing a policy with a home and community-based case management agency, the medicaid healthcare insurance plan contractor shall not reduce reimbursement rates to the home and community-based case management agency in excess of twenty-five per cent of the reimbursement rates in effect under the expiring policy with the home and community-based case management agency;
(2) Paragraph (1) shall not apply if the reduction in reimbursement rates is necessary to ensure the following:
(A) The clients' access to, or choice of, a home and community-based case management agency; or
(B) The prevention of a substantial and foreseeable risk of harm to clients; and
(3) The medicaid healthcare insurance plan contractor shall not entered into, or renew, any policy with a home and community-based case management agency unless the policy contains maximum reimbursement levels for chore services and non-emergency medical transportation.
(b) For the purposes of this section, the terms "client" and "home and community-based case management agency" shall have the same meanings ascribed to them under section 346-331."
SECTION 2. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 3. New statutory material is underscored.
SECTION 4. This Act shall take effect upon its approval.
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INTRODUCED BY: |
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Report Title:
Department of Human Services; Medicaid Contracts
Description:
Requires medicaid contracts between the department of human services and medicaid healthcare insurance plan contractors to contain provisions affecting the reimbursement obligations in the policies between the medicaid healthcare insurance plan contractors and the home and community-based case management agencies. Prohibits reductions of reimbursements of more than 25%.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
