House
File
621
-
Introduced
HOUSE
FILE
621
BY
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
(SUCCESSOR
TO
HF
20)
A
BILL
FOR
An
Act
relating
to
reimbursement
rates
for
state-licensed
1
providers
of
certain
substance
use
disorder
treatment
2
services.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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621
Section
1.
SUBSTANCE
USE
DISORDER
TREATMENT
SERVICES
1
PROVIDERS
——
REIMBURSEMENT
RATES.
The
department
of
health
and
2
human
services
shall
establish
a
rate
structure
for
Medicaid
3
1915(b)(3)
waiver
reimbursement,
applicable
under
Medicaid
4
managed
care
organization
administration,
for
substance
5
use
disorder
residential
and
intensive
outpatient
treatment
6
services
providers
that
are
licensed
by
the
state
to
deliver
7
Medicaid
1915(b)(3)
services.
The
department
shall
establish
8
time
frames
for
release
of
the
rate
structure
to
providers
9
and
the
deadline
for
submission
of
the
completed
projected
10
cost
reports
by
providers
to
the
department
in
order
to
allow
11
sufficient
time
for
review
and
the
making
of
recommended
12
adjustments
to
the
Medicaid
1915(b)(3)
waiver
reimbursement
13
rates
for
Medicaid
providers.
The
department
of
health
and
14
human
services
shall
establish
a
plan
for
regular
review
of
15
reimbursement
rates
for
providers
of
substance
use
disorder
16
treatment
services
and
shall
provide
information
to
the
17
governor
and
the
general
assembly
in
a
timely
manner
to
allow
18
for
the
provision
of
appropriate
funding
for
any
change
in
19
reimbursement
rates.
20
EXPLANATION
21
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
22
the
explanation’s
substance
by
the
members
of
the
general
assembly.
23
This
bill
directs
the
department
of
health
and
human
24
services
(the
department)
to
establish
Medicaid
1915(b)(3)
25
waiver
reimbursement
rates,
applicable
to
providers
under
26
Medicaid
managed
care
administration,
for
substance
use
27
disorder
residential
and
intensive
outpatient
treatment
28
services
providers
that
are
licensed
by
the
state
to
deliver
29
1915(b)(3)
services.
The
department
shall
establish
time
30
frames
for
release
of
the
rate
structure
to
providers
and
31
the
deadline
for
submission
of
the
completed
projected
cost
32
reports
by
providers
to
the
departments,
to
allow
sufficient
33
time
for
review
and
the
making
of
recommended
adjustments
to
34
the
reimbursement
rates.
The
department
shall
establish
a
plan
35
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H.F.
621
for
regular
review
of
reimbursement
rates
for
these
providers
1
and
shall
provide
information
to
the
governor
and
the
general
2
assembly
in
a
timely
manner
to
allow
for
the
provision
of
3
appropriate
funding
for
any
change
in
reimbursement
rates.
4
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