House
File
2518
H-8036
Amend
House
File
2518
as
follows:
1
1.
Page
1,
by
striking
lines
16
through
28
and
inserting:
2
<
NEW
SUBSECTION
.
15.
a.
Conduct
an
annual
review
of
3
provider
reimbursement
rates
for
medical
and
health
services
4
provided
under
this
chapter
that
are
reimbursed
by
a
statewide
5
fee
schedule
and
that
are
not
periodically
updated
or
rebased
6
pursuant
to
federal
or
state
law
or
rule.
The
department
shall
7
compare
each
provider
reimbursement
rate
in
the
following
8
manner:
9
(1)
For
all
medical
and
health
services
other
than
dental
10
services,
to
reimbursement
rates
under
the
federal
Medicare
11
program.
12
(2)
For
dental
services,
to
reimbursement
rates
for
13
Medicaid
programs
in
states
contiguous
to
Iowa.
14
b.
On
or
before
January
15
of
each
calendar
year,
the
15
department
shall
submit
to
the
general
assembly
a
report
16
summarizing
the
department’s
review
under
paragraph
“a”
.
>
17
2.
By
striking
page
1,
line
35,
through
page
2,
line
21,
and
18
inserting:
19
<
2.
On
or
before
July
1
of
each
fiscal
year,
providers
20
shall
submit
actual
cost
of
service
and
supply
data
to
the
21
department.
Upon
request
by
the
department,
a
provider
shall
22
submit
to
reasonable
review
of
the
actual
cost
of
service
and
23
supply
data
submitted.
24
3.
a.
Upon
the
required
submission
of
annual
cost
reports
25
by
providers
and
implementation
by
the
department
of
a
waiver
26
fee
schedule,
the
department,
with
input
from
the
public,
27
consumers,
providers,
and
other
stakeholders,
shall
develop
a
28
proposed
cost-based
reimbursement
system
and
related
changes
to
29
department
policies
and
procedures
for
all
services
rendered
30
under
a
waiver
during
the
period
of
review
specified
by
31
the
department.
The
cost-based
reimbursement
system
shall
32
be
developed
using
information
provided
to
the
department
33
including
but
not
limited
to
all
of
the
following:
34
(1)
Provider
cost
data.
35
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2518.2869
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ak/ko
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2
#1.
#2.
(2)
Provider
claims
data.
1
(3)
Consumer
needs
assessment
data.
2
(4)
Other
relevant
regional
and
national
data.
3
b.
The
department
shall,
with
input
from
providers
and
4
other
relevant
stakeholders,
develop
a
uniform
and
streamlined
5
provider
cost
reporting
mechanism
for
home
and
community-based
6
services.
7
4.
At
least
once
every
four
years,
the
department
shall
8
establish
a
new
base
period
to
be
used
in
calculating
proposed
9
rate
models
and
related
changes
to
department
policies
and
10
procedures.
On
or
before
October
1
of
each
year
that
a
new
base
11
period
is
established,
the
department
shall
submit
a
report
12
to
the
general
assembly
that
includes
proposed
rate
models,
13
the
projected
fiscal
impact
of
implementing
the
proposed
rate
14
models,
including
documentation
supporting
the
actuarial
15
soundness
of
the
proposed
rate
models,
and
the
proposed
changes
16
to
department
policies
and
procedures.
>
17
3.
Title
page,
by
striking
lines
1
through
4
and
inserting
18
<
An
Act
relating
to
the
department
of
health
and
human
services
19
and
reporting
requirements
for
shelter
care,
residential
20
treatment,
and
Medicaid
provider
reimbursement
rates,
and
21
establishing
provider
reimbursement
rates
for
Medicaid
home
and
22
community-based
waiver
services.
>
23
4.
By
renumbering
as
necessary.
24
______________________________
A.
MEYER
of
Webster
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HF
2518.2869
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ak/ko
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2
#3.
#4.