House Journal: Page 943: Wednesday, April 2, 2003
Page 9
1 product availability.
2 d. The department shall review its current method
3 for determining which prescription drugs are to be
4 included in the SMAC program and shall adjust the
5 method to maximize the cost savings realized through
6 the SMAC program.
7 5. The department of human services shall require
8 recipients of medical assistance to pay a copayment of
9 $3 for each physician office visit.
10 6. The department of human services shall maximize
11 expansion of prior authorization of prescription drugs
12 under the medical assistance program beyond the 25
13 current categories of medications.
14 7. The department of human services shall
15 establish a fixed-fee reimbursement schedule for home
16 health agencies under the medical assistance program.
17 8. The department may adopt emergency rules to
18 implement this section.
19 Sec. . HOME AND COMMUNITY-BASED SERVICES
20 WAIVERS CONSOLIDATION - BUDGET NEUTRALITY. It is the
21 intent of the general assembly that the consolidation
22 of home and community-based services waivers by the
23 department of human services be designed in a manner
24 that does not result in additional cost, with the
25 exception of any services added to the waivers through
26 legislative enactment. The department of human
27 services shall submit an initial report regarding the
28 cost neutrality and status of the waiver consolidation
29 to the legislative fiscal committee no later than
30 January 31, 2004, and a subsequent report no later
31 than July 31, 2004.
32 Sec. . NURSING FACILITY REIMBURSEMENT.
33 Notwithstanding 2001 Iowa Acts, chapter 192, section
34 4, subsection 2, paragraph "c", and subsection 3,
35 paragraph "a", subparagraph (2), if the appropriation
36 provided for reimbursement of nursing facilities for
37 the fiscal year beginning July 1, 2003, is
38 insufficient to reimburse nursing facilities in
39 accordance with the reimbursement rate specified in
40 2001 Iowa Acts, chapter 192, section 4, subsection 2,
41 paragraph "c", the department shall adjust the
42 inflation factor of the reimbursement rate calculation
43 to provide reimbursement within the amount
44 appropriated.
45 Sec. . UTILIZATION MANAGEMENT AND TARGETED
46 AUDITS.
47 1. The department of human services shall conduct
48 ongoing review of recipients and providers of medical
49 assistance services to determine the appropriateness
50 of the scope, duration, and utilization of services.
© 2003 Cornell College and
League of Women Voters of Iowa
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