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ID H0128
Bill
Status
Passed
3/20/2017
Primary Sponsor
Health and Welfare Committee
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AI Summary
- Department may enter into agreements with providers to pay for Medicaid services based on measurable health care quality and positive impacts to participant health
- Any value-based payment agreement must be designed to be cost-neutral or cost-saving compared to other payment methodologies
- Department is authorized to pursue waiver agreements with the federal government to support value-based payment arrangements, including fully capitated provider-based managed care
- Existing payment rate structure maintained: up to 100% of Medicare rate for primary care procedure codes and 90% for all other procedure codes
- All changes to provider payment rates remain subject to legislative approval through the annual appropriations process
Legislative Description
Amends existing law to provide that the Department of Health and Welfare may enter agreements with providers to pay for Medicaid services based on value.
MEDICAID
Last Action
Reported Signed by Governor on March 20, 2017 Session Law Chapter 82 Effective: 07/01/2017
3/20/2017
Committee Referrals
Health and Welfare2/23/2017
Health and Welfare2/10/2017
Full Bill Text
No bill text available