2015 Session

Budget Amendments - SB800 (Floor Approved)

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Evaluate Cost to Providers to Participate in Commonwealth Coordinated Care (language only)

Item 301 #13s

Item 301 #13s

Health and Human Resources
Department of Medical Assistance Services

Page 281, after line 10, insert:
"OOOO.  The Department of Medical Assistance Services (DMAS) shall survey Medicaid providers participating in the Commonwealth Coordinated Care program to assess if the program imposes an additional administrative burden on providers.  The department shall evaluate the results of the survey and report its findings to the Chairmen of the House Appropriations and Senate Finance Committees by November 1, 2015."

(This amendment adds language directing the Department of Medical Assistance Services to survey and assess the costs for providers to participate in the Commonwealth Coordinated Care program, a demonstration program involving the care of individuals dually eligible for the Medicare and Medicaid programs. When the program was implemented, many long-term care providers contracted with managed care plans to provide coordinated services to this population. In order to participate in a plan, many providers had to develop or upgrade processes and/or technology in order to process claims, in some cases requiring the hiring of additional staff. This has resulted in additional costs to these providers.)