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 647 Original 2018 Regular Session Norton
Abstract: Requires implementation of the Medicaid health home state plan option for Medicaid
enrollees with serious mental illness.
Proposed law defines "Medicaid health home state plan option" as the option pursuant to Section
2703 of the Affordable Care Act which allows states to design health homes to provide
comprehensive care coordination for Medicaid beneficiaries with chronic conditions.
Proposed law requires the La. Dept. of Health (LDH) to submit to the federal Medicaid agency 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 stipulates that it shall not be construed to expand the scope of covered services under
the La. Medicaid program.
Proposed law requires LDH, on or before Oct. 1, 2018, 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.
Proposed law provides that implementation of the program authorized by proposed law is subject
to approval by the Centers for Medicare and Medicaid Services and approval of the Joint Legislative Committee on the Budget.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 46:979.11-979.20)