CT HB05378

Requires administrative services organizations contracting with the Department of Social Services to implement intensive case management to reduce inappropriate use of hospital emergency departments, including identifying frequent users (10+ annual visits) and assigning staff to emergency departments during peak hours.

Mandates Medicaid benefits cards include the name and contact information of a client's primary care provider if one has been selected.

Requires administrative services organizations to conduct assessments of provider accessibility (wait times, new patient acceptance) and perform outreach to help Medicaid clients connect with primary care and behavioral health providers, particularly following emergency department visits.

Establishes reporting requirements for administrative services organizations to submit annual analysis to the Department of Social Services and Council on Medical Assistance Program Oversight detailing emergency department utilization by Medicaid clients, including visit frequency, reasons, timing, and costs.

Extends intensive case management requirements to administrative services organizations managing mental and behavioral health services under contracts with the Departments of Mental Health and Addiction Services and Children and Families, effective July 1, 2016.