Senate File 2013 - Introduced SENATE FILE 2013 BY RAGAN and MATHIS A BILL FOR An Act relating to the transition of the Medicaid program 1 long-term services and supports population from managed care 2 to fee-for-service administration, and including effective 3 date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5303XS (3) 87 pf/rh
S.F. 2013 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. The department of 16 human services shall seek any Medicaid state plan or waiver 17 amendments necessary to complete the transition. 18 Sec. 2. EFFECTIVE DATE. This Act, being deemed of immediate 19 importance, takes effect upon enactment. 20 EXPLANATION 21 The inclusion of this explanation does not constitute agreement with 22 the explanation’s substance by the members of the general assembly. 23 This bill directs the department of human services (DHS) 24 to provide written notice in accordance with the termination 25 provisions of the contract, to each managed care organization 26 with whom DHS executed a contract to administer the Iowa 27 high quality health care initiative as established by the 28 department, to terminate such contracts as applicable to the 29 long-term services and supports population, following a 60-day 30 transition period. DHS is directed to transfer the long-term 31 services and supports population to fee-for-service program 32 administration. The transition is to be based on a transition 33 plan developed by the department and submitted to the council 34 on human services and the medical assistance advisory council 35 -1- LSB 5303XS (3) 87 pf/rh 1/ 2
S.F. 2013 for review. The bill directs DHS to seek any Medicaid state 1 plan or waiver amendments necessary to complete the transition. 2 The bill takes effect upon enactment. 3 -2- LSB 5303XS (3) 87 pf/rh 2/ 2