House
File
766
H-1168
Amend
House
File
766
as
follows:
1
1.
Page
32,
after
line
7
by
inserting:
2
<
___.
Of
the
funds
appropriated
in
this
section,
$5,600,000
3
shall
be
used
to
adjust
all
current
supported
community
living
4
provider
daily
rate
cells
under
the
tiered
rate
reimbursement
5
methodology
effective
with
dates
of
service
beginning
July
1,
6
2019.
>
7
2.
Page
76,
after
line
17
by
inserting:
8
<
Sec.
___.
2017
Iowa
Acts,
chapter
174,
section
51,
as
9
amended
by
2018
Iowa
Acts,
chapter
1165,
section
20,
is
amended
10
to
read
as
follows:
11
25.
a.
The
department
of
human
services
shall
utilize
12
$3,000,000
of
the
funds
appropriated
under
this
section
to
13
adjust
current
supported
community
living
provider
daily
rate
14
cells
under
the
tiered
rate
reimbursement
methodology
effective
15
with
dates
of
service
beginning
July
1,
2018.
The
department
16
shall
work
with
the
Medicaid
program
actuary
to
evaluate
17
the
current
tiered
rates
and
the
tiered
rates
phase-in
plan
18
to
determine
the
necessary
apportionment
of
such
funds.
In
19
addition,
the
department,
working
with
the
Medicaid
program
20
actuary,
shall
review
the
current
tiered
rates
and
the
tiered
21
rates
phase-in
plan
and
shall
propose
recommendations
for
any
22
changes.
The
department
shall
convene
the
tiered
rate
provider
23
workgroup
initially
convened
in
the
fiscal
year
beginning
July
24
1,
2016,
to
review
the
actuarial
findings
and
recommendations.
25
The
tiered
rates
may
be
adjusted
based
upon
the
actuarial
26
findings
and
recommendations
if
such
adjustments
are
budget
27
neutral.
A
report
of
the
actuarial
findings,
recommendations,
28
and
comments
provided
by
the
tiered
rate
provider
workgroup
29
shall
be
submitted
to
the
governor
and
the
general
assembly
by
30
December
15,
2018.
If
additional
funding
is
appropriated
to
31
implement
the
recommendations,
the
additional
funding
shall
be
32
incorporated
into
the
managed
care
organization
capitation
rate
33
setting
process
for
the
fiscal
year
beginning
July
1,
2019.
34
b.
In
addition
to
utilization
of
the
funds
as
specified
in
35
-1-
HF766.1581
(2)
88
pf/rn
1/
2
#1.
#2.
paragraph
“a”,
of
the
funds
appropriated
under
this
section,
1
the
department
of
human
services
shall
utilize
an
additional
2
$4,000,000
of
the
funds
appropriated
under
this
section
to
3
adjust
all
current
supported
community
living
provider
daily
4
rate
cells
under
the
tiered
rate
reimbursement
methodology
5
effective
with
dates
of
service
beginning
July
1,
2018.
>
6
______________________________
HEDDENS
of
Story
-2-
HF766.1581
(2)
88
pf/rn
2/
2