Requests the La. Department of Health to study and report to the legislature concerning the potential implementation of mandatory case management in the Medicaid program
Impact
If implemented, mandatory case management could lead to significant changes in how Medicaid services are delivered in Louisiana. Currently, case management is voluntary, and a large percentage of high-risk enrollees do not receive these important services. By studying this change, the LDH aims to identify ways to improve the health status of participants and potentially reduce the overall costs of the Medicaid program in the long term. The resolution suggests that providing mandatory case management could facilitate better health outcomes through evidence-based disease management strategies.
Summary
HCR65 is a resolution that urges the Louisiana Department of Health (LDH) to conduct a study on the potential implementation of mandatory case management services for certain high-risk Medicaid recipients. The focus on high-risk individuals is crucial as case management has been shown to provide critical support to those with significant health and socioeconomic challenges. The resolution highlights a growing concern about the increasing costs of Louisiana's Medicaid program and aims to explore innovative strategies to improve health outcomes while managing expenditures effectively.
Sentiment
The sentiment surrounding HCR65 appears to be cautiously optimistic, reflecting a shared understanding among legislators about the need to innovate within the Medicaid system. Supporters of the resolution emphasize the positive effects of case management on health outcomes and quality of life. However, there may be concerns about the feasibility of transitioning from a voluntary to a mandatory system, as well as the implications for Medicaid recipients who may value their current autonomy in choosing to accept such services.
Contention
While not explicitly placed in opposition, potential points of contention could arise from this shift to mandatory case management. Critics may argue about the readiness of the LDH to implement such a program effectively, along with worries over compliance with federal guidelines. Additionally, the requirement for a waiver from the Centers for Medicare and Medicaid Services introduces an additional layer of complexity and potential hurdles in executing the desired changes. Overall, HCR65 highlights a proactive approach to improving Medicaid services while acknowledging the challenges that accompany such legislative efforts.
Requests the La. Department of Health to study and report on the costs of providing nursing services in certain Medicaid-funded programs and facilities for persons with intellectual and developmental disabilities
Urges and requests the La. Department of Health to study Medicaid rates for nonemergency medical transportation services and potential means of financing of those services
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.