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House Journal: Page 2030: Tuesday, April 30, 1996

8.  The department, through the drug utilization review
commission, shall propose a pilot project for an alternative
payment system, recommended in the study completed by the drug
utilization review commission, for compensation of pharmacists
for pharmaceutical care services under medical assistance at no
cost to the state.  The department shall submit the proposal to
the members of the joint appropriations subcommittee on human
services on or before November 30, 1996.
9.  For the fiscal year beginning July 1, 1996, the department
shall calculate reimbursement rates for intermediate care
facilities for the mentally retarded at the 80th percentile. 
The department shall address any other proposals for containment
of intermediate care facilities for the mentally retarded costs
with the work group for restructuring of the department of human
services created pursuant to this Act.
10.  The department of human services shall adopt rules
applicable to agencies providing services under the department's
rehabilitative treatment program for children and their families
to eliminate reimbursement rate limits on service components
which are within a category of cost which itself has a
reimbursement rate limit.  The change required by this
subsection shall be implemented in a manner which is cost
neutral.
11.  The department shall negotiate with providers of services
under the department's medical assistance rehabilitative
treatment program for children and families, to revise the
department's rules providing reimbursement rates under the
program, including a review of cost principles.  The goals for
the revision are to simplify the reimbursement process, reduce
paperwork for providers, and provide full payment for necessary
services provided under contract with the department.  Prior to
adoption of the rules and no later than October 1, 1996, the
department shall provide a description of the agreement to the
chairpersons and ranking members of the joint appropriations
subcommittee on human services.  The provisions of this
subsection shall be separate from the provisions of subsection
10.
12.  The department of human services, in consultation with
representatives of nursing facilities, consumers, legislators, a
representative of the department of management or the governor's
designee, and other interested entities, shall do all of the
following with the goals of improving the quality of care and
improving the recruitment and retention of qualified direct
health care providers in nursing facilities:
a.  Establish definitions for the direct health care,
administrative, room and board, and property cost categories for
reimbursement of nursing facilities under the medical assistance
program.
b.  Analyze and make recommendations for the distribution of
costs among the cost categories which may include elimination or
replacement of the cost categories.
c.  Analyze and make recommendations to eliminate reimbursement
rate limits on components which are within a category of cost
which itself has a reimbursement rate limit.
d.  Conduct a cost-benefit analysis of incentive payments,
evaluate their impact on quality of care and patient wellbeing,
and make recommendations based upon the analysis and evaluation.
e.  Analyze and make recommendations for clarification and
simplification of the cost report format, which may include
standardization with the county charts of accounts.

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 2)

© 1996 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Wed May 1 22:20:02 CDT 1996
URL: /DOCS/GA/76GA/Session.2/HJournal/02000/02030.html
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