H-1168

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

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