Bills › 88th General Assembly
Relating to Medicaid managed care contracting requirements
Topics:Health careMedicaid
Where it is now
- Done: IntroducedMarch 5, 2019
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill requires the department of human services (DHS) to execute all contracts with managed care organizations to administer the Iowa high quality health care initiative no later than March of the calendar year immediately preceding the start of the succeeding state fiscal year. If such contract is not executed on or before March of the calendar year immediately preceding the start of the succeeding state fiscal year applicable to the term of the contract, the contract in place on March 1, including all applicable capitation rates, shall be extended and applicable for an additional state fiscal year or, if the general assembly appropriates additional funding for a specific provider reimbursement, the contract may be amended to reflect the reimbursement change and the specific amount appropriated for such reimbursement change.
Read the full explanation
The bill also requires DHS to notify the chairpersons and ranking members of the joint appropriations subcommittee on health and human services, the legislative services agency, and the legislative caucus staffs within days of the execution of a Medicaid managed care contract or contract amendment, and within days of a determination whether to return the incentive payment withhold amount to the Medicaid managed care organization based on performance and the criteria used in making the determination.
Lobbying
4 for · 1 against · 13 undecided · Who →