HB 16-1407 Summary

• Eliminates the June 30, 2016 repeal date for the Medicaid Payment Reform and Innovation Pilot Program, extending it indefinitely to align with the state department's Medicaid coordinated care system contract length.

• Changes payment project duration requirement from "at least two years" to "one year," allowing for more flexible pilot project timeframes.

• Adds new reporting requirement for April 15 annually (starting April 15, 2017) requiring evaluation of all current payment projects, plans for incorporating projects into larger Medicaid framework, descriptions of new payment project proposals, and assessment results.

• Requires the state department to evaluate each payment project based on four criteria: potential for better patient outcomes and cost impact, administrative efficiency opportunities, budget neutrality or savings, and changes in provider participation.

• Appropriates $245,639 in general fund and $347,064 in federal funds for fiscal year 2016-17 to support implementation, including additional staff, professional services, customer outreach, and evaluation activities.