HB 326 Summary

• Allows medicaid and QUEST health plans to provide telehealth services through mobile medical vans in counties with populations under 250,000, including Kona Community Hospital's program, without requiring departmental approval or in-person visits for coverage.

• Establishes the Hawaii Patient Centered Health Home Pilot Program beginning January 1, 2012, to provide comprehensive, integrated primary care services to medicaid members using a team-based medical home model of care delivery.

• Creates the Hawaii Medicaid Modernization and Innovation Council with 31 voting members representing healthcare providers, patients, insurers, and state agencies to design, implement, and certify health homes and establish payment methodologies.

• Requires the council to establish health home standards, develop quality metrics, and implement a payment model including per-member monthly care coordination fees, fee-for-service reimbursement, and incentive payments for improving chronic disease outcomes.

• The pilot program terminates June 30, 2013, with council recommendations determining whether to continue as a permanent program; the council ceases to exist June 30, 2013.