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1999 SESSION

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SB 1186 Health care provider communication.

Introduced by: John H. Chichester | all patrons    ...    notes | add to my profiles | history

SUMMARY AS ENACTED WITH GOVERNOR'S RECOMMENDATION:

Medicaid provider communication. Requires the Director of the Department of Medical Assistance Services to report to the Governor and the General Assembly the activities of facilitating communication between the Department and the providers and recipients of health care services.

SUMMARY AS PASSED:

Medicaid provider communication. Requires the Director of the Department of Medical Assistance Services, consistent with federal law, to establish work groups consisting of key providers and constituency groups, and separate work groups for physicians, hospitals, long-term care providers, dentists, behavioral health providers, pharmacists, school divisions participating as Medicaid providers, and managed care plans to facilitate communication between the Department and providers of health care regarding program and payment system policies and procedures, performance improvement goals, and such other matters as the Director may deem appropriate. The work groups are required to meet quarterly, unless the Director and the work group participants agree to another schedule. The Board is required to render final decisions regarding the payment systems and other policies in accordance with the Administrative Process Act. Further, the Department must disseminate information on data schedules, policy memoranda, and other information routinely developed by the Department or frequently requested by providers, on the Department’s website or through other efficient means.

SUMMARY AS PASSED SENATE:

Medicaid provider communication. Requires the Director of the Department of Medical Assistance Services, consistent with federal law, to establish work groups consisting of key providers and constituency groups, and separate work groups for physicians, hospitals, long-term care providers, dentists, behavioral health providers, pharmacists, school division participating as Medicaid providers, and managed care plans to facilitate communication between the Department and providers of health care regarding program and payment system policies and procedures, performance improvement goals, and such other matters as the Director may deem appropriate. The work groups are required to meet quarterly, unless the Director and the work group participants agree to another schedule. The Board and Director are required to render final decisions regarding the payment systems and other policies in accordance with the Administrative Process Act. Further, the Department must disseminate information on data schedules, policy memoranda, and other information routinely developed by the Department or frequently requested by providers, on the Department’s web site or through other efficient means.

SUMMARY AS INTRODUCED:

Medicaid provider communication. Requires the Director of the Department of Medical Assistance Services to establish work groups consisting of key providers and constituency groups, and separate work groups for physicians, hospitals, long-term care providers, dentists, behavioral health providers, and managed care plans to advise the Board and Director of Medical Assistance Services concerning program and payment system policies and procedures, performance improvement goals, and such other matters as the Director may deem necessary. The work groups are required to meet quarterly, unless the Director and the work group participants agree to another schedule. The Board and Director are required to render final decisions regarding the payment systems and other policies in accordance with the Administrative Process Act. Further, the Department must disseminate information on data schedules, policy memoranda, and other information routinely developed by the Department or frequently requested by providers, on the Department’s web site or through other efficient means.