Relating to an administrative services organization delivery model for the Medicaid program, and including effective date provisions

The bill also strikes current Code language that authorizes the DHS director to contract with corporations authorized to insure groups or individuals; corporations maintaining and operating medical, hospital, or health service prepayment plans; or health maintenance organizations to provide coverage for Medicaid members. This division takes effect July 1, 2020. Division II of the bill requires DHS to contract with the university of Iowa public policy center to assist in developing a request for proposals (RFP) to be issued no later than January 1, 2020, as the basis for soliciting bids from entities to contract for and implement a managed fee-for-service value-based delivery model utilizing an administrative services organization for the Medicaid program in place of Medicaid managed care beginning July 1, 2020. The public policy center is required to convene a request for proposals development work group to develop the RFP. The bill describes the goals of the delivery system and requires the work group to consider the key elements for the delivery system; the infrastructure for the delivery system including a single statewide data analytics infrastructure, a statewide administrative services organization, a statewide strategy for the adoption and advancement of value-based payment models, and enhanced state oversight and accountability; and the role of state agencies.