DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part of the
legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law
or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 497 Original 2016 Regular Session Norton
Abstract: Requires implementation of the Medicaid health home state plan option for Medicaid
enrollees with serious mental illness.
Proposed law defines key terms including "ACA" and "Affordable Care Act", "Centers for Medicare
and Medicaid Services", "Medicaid" and "medical assistance program", and "Medicaid health home
state plan option".
Proposed law requires the Dept. of Health and Hospitals to submit to the Centers for Medicare and
Medicaid Services all Medicaid state plan amendments, promulgate all rules and regulations, and
take any other actions as necessary to implement the Medicaid health home state plan option for
Medicaid enrollees who suffer from a serious mental illness.
Proposed law sets forth all of the following requirements for the health home state plan:
(1)The minimum required services for Medicaid enrollees with a serious mental illness that
must be included in the health home state plan.
(2)The creation of an interdisciplinary team for each participating Medicaid enrollee and the
minimum required duties of the team.
(3)The minimum provisions regarding referral to a health home provider and enrollment in the
program.
(4)The minimum system delivery requirements for health home providers.
(5)The required notification to potential enrollees.
Proposed law shall not be construed to expand the scope of the covered services under the La.
medical assistance program. Proposed law requires DHH, on or before Oct. 1, 2016, to take all of the actions as are necessary to
implement the Medicaid health home state plan option in conformance with the provisions of
proposed law.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 46:979.11-979.19)