Bill Text - HB1816 (2018)

Relative to Medicaid managed care.


Revision: June 26, 2018, 11:08 a.m.

CHAPTER 309

HB 1816-FN - FINAL VERSION

 

21Mar2018... 0864h

05/03/2018   1770s

23May2018... 2089-EBA

2018 SESSION

18-2646

01/03

 

HOUSE BILL 1816-FN

 

AN ACT relative to Medicaid managed care.

 

SPONSORS: Rep. Kurk, Hills. 2

 

COMMITTEE: Health, Human Services and Elderly Affairs

 

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AMENDED ANALYSIS

 

This bill declares that the remaining unimplemented phases of step 2 of the program shall not be incorporated into the department of health and human services' care management program for delivery by a managed care organization.  This bill also requires the commissioner of the department of health and human services to implement enhanced eligibility screening.

 

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

21Mar2018... 0864h

05/03/2018   1770s

23May2018... 2089-EBA 18-2646

01/03

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Eighteen

 

AN ACT relative to Medicaid managed care.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

309:1  New Subparagraphs; Medicaid Managed Care Program; Waiver; Eligibility; Medical Loss Ratio.  Amend RSA 126-A:5, XIX by inserting after subparagraph (g) the following new subparagraphs:

(h)  The commissioner shall develop and implement enhanced eligibility screening to stop per member/per month payments to managed care organizations in a timely manner for services for persons who are no longer eligible.

(i)  Notwithstanding RSA 126-A:5, XIX(a) and 2017, 258:1, long-term supports and services, including, specifically nursing facility services and services provided under the choices for independence waiver, the developmental disabilities waiver, the in-home supports waiver, and the acquired brain disorder waiver, as those waivers are issued by the Centers for Medicare and Medicaid Services under 42 U.S.C. section 1396(c), shall not be incorporated into the department’s care management program for delivery by a managed care organization, as defined in RSA 126-A:5, XIX(c)(3), under contract with the state.  The department may develop a plan to offer on a voluntary basis only county or other locally-based Programs of the All Inclusive Care for the Elderly (PACE) or similar accountable care organization (ACO) models to provide on a non-fee-for-service basis nursing facility and choices for independence home care services for beneficiaries who voluntarily elect to participate.  Any such plan for voluntary PACE and/or ACO models shall be approved by the oversight committee on health and human services, established in RSA 126-A:13, and the fiscal committee of the general court prior to implementation.

309:2  Effective Date.

I.  RSA 126-A:5, XIX(i) as inserted by section 1 of this act shall take effect upon its passage.

II.  The remainder of this act shall take effect 60 days after its passage.

 

Approved: June 25, 2018

Effective Date:

I. RSA 126-A:5, XIX(i) as inserted by section 1 shall take effect June 25, 2018.

II. Remainder shall take effect August 24, 2018.