Bill Text: IA SF2092 | 2017-2018 | 87th General Assembly | Introduced

Iowa Senate Bill 2092 (Prior Session Legislation)

IA State Legislature page for SF2092

Introduced

Bill Title: A bill for an act relating to the provision of integrated health home services under Medicaid managed care, and including effective date provisions. (See SF 2284.)

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2018-01-31 - Subcommittee recommends amendment and passage. [SF2092 Detail]

Download: Iowa-2017-SF2092-Introduced.html


Senate File 2092 - Introduced




                                 SENATE FILE       
                                 BY  CHELGREN

                                      A BILL FOR

  1 An Act relating to the provision of integrated health home
  2    services under Medicaid managed care, and including
  3    effective date provisions.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
    TLSB 5792XS (3) 87
    pf/rh

PAG LIN



  1  1    Section 1.  PROVISION OF INTEGRATED HEALTH HOME SERVICES
  1  2 UNDER MEDICAID MANAGED CARE.  The department of human services
  1  3 shall amend Medicaid managed care contracts and adopt rules
  1  4 pursuant to chapter 17A to require all of the following:
  1  5    1.  That integrated health home services be provided
  1  6 in accordance with the state plan amendment, IA=16=013,
  1  7 including the requirement that comprehensive care coordination
  1  8 services be provided by care coordinators who are part of the
  1  9 integrated health home's team of health care professionals
  1 10 to meet provider standards and deliver health home services
  1 11 to qualified members. Comprehensive care coordination for
  1 12 Medicaid members receiving integrated health home services
  1 13 shall not be provided in a manner other than through the use of
  1 14 integrated health home provider types as specified in the state
  1 15 plan amendment, and shall not be provided by the managed care
  1 16 organization through internal resources or other contracted
  1 17 providers.
  1 18    2.  That if a Medicaid member is receiving integrated health
  1 19 home services, and based on the member's array of services
  1 20 would potentially have more than one case manager or care
  1 21 coordinator, the member shall be provided the opportunity to
  1 22 select the member's own case manager or care coordinator.
  1 23 Additionally, such Medicaid member shall be allowed to change
  1 24 the integrated health home provider from whom the member
  1 25 receives integrated health home services.
  1 26    Sec. 2.  EFFECTIVE DATE.  This Act, being deemed of immediate
  1 27 importance, takes effect upon enactment.
  1 28                           EXPLANATION
  1 29 The inclusion of this explanation does not constitute agreement with
  1 30 the explanation's substance by the members of the general assembly.
  1 31    This bill requires the department of human services (DHS) to
  1 32 amend Medicaid managed care contracts to require the following:
  1 33    1.  That integrated health home services be provided
  1 34 in accordance with the state plan amendment, IA=16=013,
  1 35 including the requirement that comprehensive care coordination
  2  1 services be provided by care coordinators who are part of the
  2  2 integrated health home's team of health care professionals
  2  3 to meet provider standards and deliver health home services
  2  4 to qualified members. Comprehensive care coordination shall
  2  5 not be provided in a manner other than through the use of the
  2  6 integrated health home provider types as specified in the state
  2  7 plan amendment, and shall not be provided by the managed care
  2  8 organization through internal resources or other contracted
  2  9 providers.
  2 10    2.  That if a Medicaid member is receiving integrated health
  2 11 home services, and based on the member's array of services
  2 12 would potentially have more than one case manager or care
  2 13 coordinator, the member shall be given the opportunity to
  2 14 select the member's own case manager or care coordinator.
  2 15 Additionally, such Medicaid member shall be allowed to change
  2 16 the integrated health home provider from whom the member
  2 17 receives integrated health home services.
  2 18    The bill takes effect upon enactment.
       LSB 5792XS (3) 87
       pf/rh