2012 Session

Budget Amendments - HB30 (Committee Approved)

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Care Coordination of High Need Medicaid Recipients (language only)

Item 307 #17h

Item 307 #17h

Health And Human Resources
Medical Assistance Services, Department of

Page 235, strike lines
29 through 33 and insert:
"g. The department may seek the necessary waiver(s) and/or State Plan authorization under Title XIX of the Social Security Act to develop and implement a care coordination model for individuals dually eligible for services under both Medicare and Medicaid. The Secretary of Health and Human Resources shall establish a stakeholder advisory committee to support successful implementation of dual-eligible care coordination systems.  This advisory committee will support the dual-eligible initiatives by identifying care coordination and quality improvement priorities, assisting in securing analytic and care management support resources (from CMS Innovation Center demonstration programs, private grants and other sources) and helping design and communicate performance reports.  The Secretary's dual-eligible advisory committee will include balanced representation from health systems, health plans, long-term care providers, health policy researchers, physicians and others with expertise in serving the dual-eligible populations.  The department shall have authority to implement necessary changes upon federal approval and prior to the completion of any regulatory process undertaken in order to effect such change."

(This amendment adds language to assist the Department of Medical Assistance Services with developing and implementing innovative care coordination models for high-need Medicaid recipients, especially those dually eligible for Medicare and Medicaid. Successful care coordination is expected to increase quality and lower costs for both the Medicare and Medicaid programs.)