SB1321 Summary

• Extends the deadline for completing a comprehensive study of long-term care trends and actuarial analysis from December 1, 2019 to December 1, 2020, with the report due to the General Assembly by the new deadline.

• Authorizes expedited procurement of technology for managing Medicaid claims rejection and denial by the Department of Healthcare and Family Services, with contract execution targeted by August 1, 2019 and implementation by January 1, 2020.

• Establishes procedures for emergency procurement to assess the Integrated Eligibility System for critical gaps and processing errors to address negative impacts on access to state health care services and federal match funding.

• Modifies eligibility verification requirements for children's health insurance programs to allow single pay stub income verification with extrapolated monthly income and expands use of information from other benefit applications for redetermination decisions.

• Implements value-based purchasing models for behavioral health providers and establishes managed care organization reporting requirements on minority and women-owned business spending, with a model presentation to the General Assembly by January 31, 2020.