Bill Text: OH HB514 | 2009-2010 | 128th General Assembly | Introduced

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Bill Title: To require the Department of Job and Family Services to implement a case management component of the Medicaid program.

Spectrum: Partisan Bill (Republican 14-0)

Status: (Introduced - Dead) 2010-05-17 - To Finance & Appropriations [HB514 Detail]

Download: Ohio-2009-HB514-Introduced.html

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As Introduced

128th General Assembly Regular Session 2009-2010

H. B. No. 514

Representative Sears 

Cosponsors: Representatives Adams, J., Adams, R., Balderson, Boose, Burke, Combs, Grossman, Huffman, Jordan, McGregor, Morgan, Stebelton, Wachtmann 

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A BILL

To enact section 5111.142 of the Revised Code to

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require the Department of Job and Family Services

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to implement a case management component of the

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Medicaid program.

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BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section 1. That section 5111.142 of the Revised Code be	5
enacted to read as follows:	6

Sec. 5111.142.  (A) The department of job and family services	7
shall conduct a review of case management services provided under	8
the fee-for-service component of the medicaid program. In	9
conducting the review, the department shall identify which groups	10
of medicaid recipients not participating in the care management	11
system established under section 5111.16 of the Revised Code or	12
enrolled in a medicaid waiver component as defined in section	13
5111.85 of the Revised Code do not receive case management	14
services and which groups of such medicaid recipients receive case	15
management services as part of two or more components of the	16
medicaid program or from two or more providers.	17

After completing the review, the department shall implement a	18
case management component of the medicaid program. The department	19
shall model the case management component on the former enhanced	20
care management program that the department created as part of the	21
care management system established under section 5111.16 of the	22
Revised Code. The department shall make adjustments to the former	23
enhanced care management program as are necessary to accomodate	24
the groups the case management component is to serve.	25

(B) At a minimum, the case management component shall serve	26
medicaid recipients who are members of the groups identified in	27
the review conducted under this section and have been diagnosed by	28
a physician as having any of the following medical conditions:	29

(1) A high-risk pregnancy;

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(2) Diabetes;

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(3) Asthma;

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(4) Lung disease;

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(5) Congestive heart failure;

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(6) Coronary artery disease;

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(7) Hypertension;

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(8) Hyperlipidemia;

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(9) Infection with the human immunodeficiency virus;

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(10) Acquired immunodeficiency syndrome;

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(11) Chronic obstructive pulmonary disease.

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