S.F. 111 Section 1. NEWBORN HOME VISIT —— MEDICAID MANAGED CARE. 1 The department of human services shall contractually require 2 a Medicaid managed care organization to provide at least one 3 evidence-based home visit for every newborn. The contract 4 shall provide that if the home visit is deemed by the managed 5 care organization not to be a reimbursable Medicaid covered 6 service, the managed care organization shall provide the 7 newborn home visit as a value-added service. Evaluation 8 of the provision of the required newborn home visit shall 9 be incorporated into the managed care contract performance 10 measures and the department shall track and analyze the 11 resulting data to determine any improvements in health outcomes 12 due to the provision of the service. 13 EXPLANATION 14 The inclusion of this explanation does not constitute agreement with 15 the explanation’s substance by the members of the general assembly. 16 This bill directs the department of human services (DHS) 17 to contractually require a Medicaid managed care organization 18 (MCO) to provide at least one evidence-based home visit 19 for every newborn. The contract shall provide that if the 20 home visit is deemed by the managed care organization not 21 to be a reimbursable Medicaid covered service, the managed 22 care organization shall provide the newborn home visit as a 23 value-added service. The bill requires DHS to incorporate the 24 evaluation of the provision of the required newborn home visit 25 MCO contract performance measures and to track and analyze the 26 resulting data to determine any improvements in health outcomes 27 due to the provision of the service. 28 -1- LSB 1708XS (10) 88 pf/rh 1/ 1