House Journal: Page 945: Wednesday, April 2, 2003
Page 11
1 assistance state plan as necessary to implement this
2 section. The department may adopt emergency rules to
3 implement this section.
4 2. The department may use any savings realized
5 under this section to the extent necessary to pay the
6 costs associated with implementation of this section
7 prior to reversion to the medical assistance program.
8 The department shall report the amount of any savings
9 realized and the amount of any costs paid to the
10 chairpersons of the joint appropriations subcommittee
11 on health and human services.
12 Sec. . IOWA CHRONIC CARE CONSORTIUM.
13 1. The department of human services shall
14 aggressively pursue chronic disease management in
15 order to improve care and reduce costs under the
16 medical assistance program.
17 2. The department of human services, in
18 cooperation with the department's fiscal agent and in
19 consultation with a chronic care management resource
20 group, shall profile medical assistance recipients
21 within a select number of disease diagnosis
22 categories. The assessment shall focus on those
23 diagnosis areas that present the greatest opportunity
24 for impact to improved care and cost reduction.
25 3. The department of human services, in
26 consultation with a chronic care management resource
27 group, shall conduct a chronic disease management
28 pilot project for a select number of individuals who
29 are participants in the medical assistance program.
30 The project shall focus on a select number of chronic
31 diseases which may include congestive heart failure,
32 diabetes, and asthma. The initial pilot project shall
33 be implemented by October 1, 2003.
34 4. The department of human services may procure a
35 sole source contract with a vendor to manage
36 individuals with select chronic diseases following the
37 conclusion of the profiling of medical assistance
38 recipients. The management of chronic diseases for
39 individuals under this subsection may be coordinated
40 with the pilot project established in subsection 3.
41 5. The department of human services shall amend
42 the medical assistance state plan and seek any waivers
43 necessary from the centers for Medicare and Medicaid
44 services of the United States department of health and
45 human services to implement this section.
46 6. The department of human services shall submit a
47 progress report regarding chronic disease management
48 measures undertaken pursuant to this section to the
49 governor and the general assembly by November 1, 2003.
50 The report shall include recommendations regarding
© 2003 Cornell College and
League of Women Voters of Iowa
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