House
File
2243
-
Introduced
HOUSE
FILE
2243
BY
BERRY
,
KRESSIG
,
and
KAJTAZOVIC
A
BILL
FOR
An
Act
relating
to
directives
to
the
department
of
human
1
services
regarding
changes
in
the
IowaCare
and
Medicaid
2
programs.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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H.F.
2243
Section
1.
IOWACARE
AND
MEDICAID
PROGRAM
——
DIRECTIVES
TO
1
DEPARTMENT
OF
HUMAN
SERVICES.
The
department
of
human
services
2
shall
submit
any
waiver
or
state
plan
amendments
under
the
3
medical
assistance
program
to
the
centers
for
Medicare
and
4
Medicaid
services
of
the
United
States
department
of
health
5
and
human
services
as
necessary
to
implement
the
following
6
directives:
7
1.
Amend
the
specifications
for
utilization
of
funds
8
appropriated
from
the
IowaCare
account
created
in
section
9
249J.24
to
the
department
of
human
services
for
a
laboratory
10
test
and
radiology
pool
to
allow
federally
qualified
health
11
centers,
designated
by
the
department
as
part
of
the
IowaCare
12
regional
provider
network
that
do
not
have
the
capability
13
to
provide
such
services
on
site,
to
utilize
laboratory
and
14
radiology
providers
selected
by
the
individual
federally
15
qualified
health
center
and
approved
by
the
department
in
16
addition
to
any
laboratory
and
radiology
providers
designated
17
for
that
federally
qualified
health
center
by
the
department.
18
Notwithstanding
any
provision
to
the
contrary,
the
department
19
shall
amend
specifications
for
utilization
of
the
funds
20
to
restrict
expenditures
to
payment
for
routine
screening
21
and
basic
diagnostic
testing
and
to
allow
adjustment
of
22
reimbursement
for
covered
services
to
provide
reimbursement
in
23
an
amount
that
is
no
greater
than
the
Medicaid
reimbursement
24
rate.
25
2.
Allow
federally
qualified
health
centers
that
are
not
26
participating
regional
provider
network
providers
to
refer
27
patients
directly
to
the
university
of
Iowa
hospitals
and
28
clinics
or
to
the
publicly
owned
acute
care
teaching
hospital
29
located
in
a
county
with
a
population
over
350,000
that
is
a
30
participating
provider
for
specialty
services.
31
3.
Reimburse
federally
qualified
health
centers
for
all
32
medical,
oral,
and
behavioral
health
care
services
provided
to
33
a
Medicaid
program
recipient
on
the
same
day
at
the
federally
34
qualified
health
center.
35
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H.F.
2243
EXPLANATION
1
This
bill
directs
the
department
of
human
services
(DHS)
to
2
submit
any
waiver
or
state
plan
amendments
under
the
medical
3
assistance
program
to
the
centers
for
Medicare
and
Medicaid
4
services
of
the
United
States
department
of
health
and
human
5
services
as
necessary
to
implement
three
directives:
6
1.
Amend
the
specifications
for
utilization
of
funds
7
appropriated
to
DHS
for
a
laboratory
test
and
radiology
pool
8
to
allow
federally
qualified
health
centers
(FQHCs)
that
are
9
regional
providers
under
the
IowaCare
program
to
utilize
10
laboratory
and
radiology
providers
selected
by
the
individual
11
FQHC
in
addition
to
those
laboratory
and
radiology
providers
12
designated
by
the
department.
The
bill
also
provides
for
13
restriction
of
expenditures
of
funds
under
the
pool
for
14
routine
screening
and
basic
diagnostic
testing
and
provides
15
for
adjustment
of
reimbursement
for
covered
services
to
16
provide
reimbursement
that
is
not
greater
than
the
Medicaid
17
reimbursement
rate.
18
2.
Allow
FQHCs
that
are
not
participating
regional
19
providers
under
the
IowaCare
program
to
refer
patients
20
directly
to
the
university
of
Iowa
hospitals
and
clinics
or
to
21
Broadlawns
medical
center
in
Des
Moines
for
specialty
services.
22
3.
Reimburse
FQHCs
for
all
medical,
oral,
and
behavioral
23
health
care
services
provided
to
a
Medicaid
program
recipient
24
on
the
same
day
at
the
FQHC.
25
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