2013 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Hanger
Medicaid Performance Incentives for Care Coordination (language only)

Item 307 #12s

Item 307 #12s

Health And Human Resources
Medical Assistance Services, Department of

Page 271,  line 27, after "expenditures." insert:
"Any compensation for performance afforded in the expansion of care coordination cannot be based on the percentage of cost savings generated by reductions in provider rates or under the benefit management of services."
Page 271, line 31, after "outcomes," insert:
"provider availability by service and geographic areas,".
Page 271, line 31, after "costs," insert:
"payment rates to providers,".

(This amendment adds language related to the principles guiding the expanded use of care coordination by the Department of Medical Assistance Services for the Medicaid program to ensure that performance contracts with managed care organizations do not provide financial incentives to penalize providers or reduce benefits to Medicaid recipients.)