Bill Text: IA SF286 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to the reimbursement and cost-reporting methodologies and documentation requirements applicable to certain Medicaid providers, and including effective date provisions.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-02-21 - Subcommittee: Segebart, Costello, and Ragan. S.J. 371. [SF286 Detail]
Download: Iowa-2017-SF286-Introduced.html
Senate File 286 - Introduced SENATE FILE BY SEGEBART A BILL FOR 1 An Act relating to the reimbursement and cost=reporting 2 methodologies and documentation requirements applicable to 3 certain Medicaid providers, and including effective date 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 2247XS (4) 87 pf/nh PAG LIN 1 1 Section 1. MEDICAID HOME AND COMMUNITY=BASED SERVICES 1 2 PROVIDERS == COST=REPORTING METHODOLOGY AND DOCUMENTATION 1 3 CHANGES. 1 4 1. Beginning July 1, 2017, the department of human services 1 5 shall discontinue application of the retrospectively limited 1 6 prospective rates reimbursement methodology to and the required 1 7 submission of cost reports by affected providers under 441 IAC 1 8 79.1. 1 9 2. The department of human services, in consultation with 1 10 affected parties, including but not limited to Medicaid home 1 11 and community=based services providers, shall develop and 1 12 submit to the governor and the general assembly by November 30, 1 13 2017, a proposal for a new cost=reporting methodology to be 1 14 used for the purposes of determining actuarially sound rates 1 15 and fee=for=service reimbursement for applicable Medicaid home 1 16 and community=based services providers beginning July 1, 2018. 1 17 The cost=reporting methodology developed shall be based on 1 18 all reasonable costs of doing business as a Medicaid home and 1 19 community=based services provider. 1 20 3. The department of human services shall amend 441 IAC 1 21 24.4 relating to standards of service for providers of services 1 22 to persons with mental illness, intellectual disabilities, or 1 23 developmental disabilities pursuant to chapter 225C and 441 1 24 IAC 79.3(2) relating to medical clinical records for providers 1 25 of services under the Medicaid program pursuant to chapter 1 26 249A, to provide, effective November 1, 2017, that in addition 1 27 to allowing documentation of the provision of services or 1 28 standards of service in a narrative format, the following 1 29 providers may also provide documentation in a checkbox form 1 30 format in accordance with the provider's organizational 1 31 policies and procedures: 1 32 a. Advanced registered nurse practitioners. 1 33 b. Psychologists. 1 34 c. Community mental health centers. 1 35 d. Home and community=based habilitation services 2 1 providers. 2 2 e. Behavioral health intervention. 2 3 f. Case management services including home and 2 4 community=based services case management services. 2 5 g. Home and community=based services waiver services. 2 6 h. Behavioral health services. 2 7 i. Community=based neurobehavioral rehabilitation 2 8 residential services and intermittent services. 2 9 Sec. 2. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 2 10 immediate importance, takes effect upon enactment. 2 11 EXPLANATION 2 12 The inclusion of this explanation does not constitute agreement with 2 13 the explanation's substance by the members of the general assembly. 2 14 This bill relates to reimbursement methodologies, cost 2 15 reports, and documentation required of certain Medicaid home 2 16 and community=based services providers. 2 17 The bill requires that beginning July 1, 2017, the 2 18 department of human services (DHS) shall discontinue 2 19 application of the retrospectively limited prospective rates 2 20 reimbursement methodology and the required submission of 2 21 cost reports by affected providers as provided under the 2 22 administrative rule that applies this reimbursement methodology 2 23 and requires submission of cost reports by Medicaid home and 2 24 community=based services (HCBS) supported community living, 2 25 family and community support services, and interim medical 2 26 monitoring and treatment when provided by an HCBS=certified 2 27 supported community agency. 2 28 The bill directs DHS, in consultation with affected parties, 2 29 including but not limited to Medicaid home and community=based 2 30 services providers, to develop and submit to the governor and 2 31 the general assembly by November 30, 2017, a proposal for a 2 32 new cost=reporting methodology to be used for the purposes 2 33 of determining actuarially sound rates and fee=for=service 2 34 reimbursement for applicable HCBS providers beginning July 1, 2 35 2018. The cost=reporting methodology developed shall be based 3 1 on all reasonable costs of doing business as a Medicaid home 3 2 and community=based services provider. 3 3 The bill also requires DHS to amend administrative rules 3 4 relating to standards of service for providers of services 3 5 to persons with mental illness, intellectual disabilities, 3 6 or developmental disabilities and those relating to medical 3 7 clinical records for providers of services under the Medicaid 3 8 program to provide, effective November 1, 2017, that in 3 9 addition to allowing documentation of the provision of 3 10 services or standards of service in a narrative format, certain 3 11 providers specified in the bill may also provide documentation 3 12 in a checkbox form format in accordance with the provider's 3 13 organizational policies and procedures. 3 14 The bill takes effect upon enactment. LSB 2247XS (4) 87 pf/nh
