Senate
File
143
-
Introduced
SENATE
FILE
143
BY
JOCHUM
,
J.
SMITH
,
WAHLS
,
BOULTON
,
KINNEY
,
R.
TAYLOR
,
QUIRMBACH
,
BOLKCOM
,
PETERSEN
,
RAGAN
,
MATHIS
,
CELSI
,
and
T.
TAYLOR
A
BILL
FOR
An
Act
relating
to
long-term
services
and
supports
provided
1
under
the
Medicaid
program,
and
including
effective
date
2
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
1967XS
(3)
88
pf/rh
S.F.
143
Section
1.
TERMINATION
OF
MEDICAID
MANAGED
CARE
CONTRACTS
1
RELATIVE
TO
LONG-TERM
SERVICES
AND
SUPPORTS
POPULATION
——
2
TRANSITION
TO
FEE-FOR-SERVICE.
The
department
of
human
3
services
shall,
upon
the
effective
date
of
this
Act,
provide
4
written
notice
in
accordance
with
the
termination
provisions
5
of
the
contract,
to
each
managed
care
organization
with
whom
6
the
department
executed
a
contract
to
administer
the
Iowa
7
high
quality
health
care
initiative
as
established
by
the
8
department,
to
terminate
such
contracts
as
applicable
to
9
the
Medicaid
long-term
services
and
supports
population,
10
following
a
sixty-day
transition
period.
The
department
shall
11
transfer
the
long-term
services
and
supports
population
to
12
fee-for-service
program
administration.
The
transition
shall
13
be
based
on
a
transition
plan
developed
by
the
department
and
14
submitted
to
the
council
on
human
services
and
the
medical
15
assistance
advisory
council
for
review.
16
Sec.
2.
MEDICAID
STATE
PLAN
OR
WAIVER
AMENDMENTS.
The
17
department
of
human
services
shall
seek
any
Medicaid
state
plan
18
or
waiver
amendments
necessary
to
administer
this
Act.
19
Sec.
3.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
20
importance,
takes
effect
upon
enactment.
21
EXPLANATION
22
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
23
the
explanation’s
substance
by
the
members
of
the
general
assembly.
24
This
bill
directs
the
department
of
human
services
(DHS)
25
to
provide
written
notice
in
accordance
with
the
termination
26
provisions
of
the
contract,
to
each
managed
care
organization
27
(MCO)
with
whom
DHS
executed
a
contract
to
administer
the
Iowa
28
high
quality
health
care
initiative
as
established
by
the
29
department,
to
terminate
such
contracts
as
applicable
to
the
30
long-term
services
and
supports
population,
following
a
60-day
31
transition
period.
DHS
is
directed
to
transfer
the
long-term
32
services
and
supports
population
to
fee-for-service
program
33
administration.
The
transition
is
to
be
based
on
a
transition
34
plan
developed
by
the
department
and
submitted
to
the
council
35
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1/
2
S.F.
143
on
human
services
and
the
medical
assistance
advisory
council
1
for
review.
2
The
bill
requires
DHS
to
seek
any
Medicaid
state
plan
or
3
waiver
amendments
necessary
to
administer
the
bill.
4
The
bill
takes
effect
upon
enactment.
5
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(3)
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pf/rh
2/
2