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IN SB0470
Bill
AI Summary
- Creates a Medicaid direct primary care services pilot program limited to 400 recipients across five eligibility categories: childless adults, children, parents, individuals 65+, and individuals with disabilities
- Requires participating physicians to charge an average monthly fee of no more than $70 per participant and provide primary care services including telemedicine and same day or next business day appointments
- Mandates the Office of Family and Social Services apply for a federal Medicaid waiver or state plan amendment and implement the program within 60 days of approval
- Requires quarterly reports to the General Assembly on program metrics including participant numbers, per member per month costs, claims data, and calculated savings by eligibility category
- Effective date of July 1, 2019
Legislative Description
Medicaid direct primary care services pilot program. Requires the office of the secretary of family and social services (office) to apply to the United States Department of Health and Human Services for a Medicaid waiver or Medicaid state plan amendment necessary to allow the office to implement a direct primary care services pilot program for Medicaid recipients. Sets forth requirements of the program, participants, and direct primary care services providers. Requires the office to submit a quarterly report to the general assembly containing specified information concerning the pilot program.
Last Action
First reading: referred to Committee on Health and Provider Services
1/14/2019
Committee Referrals
Health and Provider Services1/14/2019
Full Bill Text
No bill text available