1999 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Stolle
Co-Patron(s): Gartlan, Houck, Lambert, Marye, Wampler, Woods
Providers Work Groups (language only)

Item 335 #13s

Item 335 #13s

Health And Human Resources
Medical Assistance Services, Department of

Page 271, after line 40, insert:
"Z. The Director of the Department of Medical Assistance Services shall establish work groups with key provider and constituency groups to facilitate communication between the Department and providers of health care services to Medicaid recipients.  The Director shall consult with such groups on program and payment system policies and procedures; performance improvement goals; design of program, policy or payment system modifications; and any additional issues as he deems appropriate.  The Director shall establish a separate work group for each of the following:  physicians; pharmacists; hospitals; long-term care providers; dentists; behavioral health providers, including community services boards and public and private inpatients providers; and managed care plans.  The Director may establish such additional work groups as he deems appropriate.  Each work group shall include representatives from the Department and from relevant provider and constituency groups, the latter to be nominated by professional  or trade associations representing such groups.  The work groups shall meet at least quarterly unless the Director and provider or constituency group members mutually agree otherwise.  The Director and the Board of Medical Assistance Services shall render final decisions regarding payment systems and other policies as authorized by law and in conformance with the Administrative Process Act.  The Director shall also make available through efficient means, including but not limited to, the Department's website, any data schedules, policy memoranda and other information routinely developed by the Department and requested for use by providers and their representatives."

(This amendment requires the Director of the Department of Medical Assistance Services to establish work groups of medical care providers to advise the Department on policies and reimbursement.)