Provides relative to Medicaid managed care for individuals receiving long-term services and supports. (8/1/18) (OR +$1,250,000 GF EX See Note)
The legislation introduces significant amendments to Louisiana's Medicaid framework by allowing elderly individuals and dual eligibles to receive long-term care within a managed care structure. This could directly impact how services are delivered, promote efficiency, and enhance care quality. Specifically, the bill's provisions will require the Louisiana Department of Health to submit a plan to the Centers for Medicare and Medicaid Services for approval to ensure it meets federal standards, thereby facilitating the alignment of state policies with national guidelines in healthcare delivery.
Senate Bill 357 aims to establish a Medicaid Managed Long-Term Services and Supports (MLTSS) program designed specifically for seniors and individuals with adult-onset disabilities who are at high risk for needing long-term services. The purpose of this bill is to improve access to such services, provide more choices for recipients, and promote community-based care options. By allowing managed care plans to coordinate all necessary physical, behavioral, and long-term health services, SB357 seeks to create a more integrated care system for vulnerable populations receiving Medicaid.
Overall, the sentiment around SB357 is mixed. Supporters argue that this bill is a crucial step toward modernizing the state's approach to long-term care, enhancing quality of life for seniors and those with disabilities. The MLTSS program aims to offer more flexibility and consumer-driven choices for beneficiaries. Conversely, there are concerns among some advocacy groups about the implementation of managed care models, particularly regarding the adequacy and quality of care, as well as the possible risk of reduced services for vulnerable populations.
Notable points of contention include the bill's exclusion of individuals with intellectual or developmental disabilities from the MLTSS program, which some stakeholders argue may leave these vulnerable communities without essential support. Additionally, discussions around the funding and management of the program arise from fears that inadequate oversight could lead to issues in service delivery and provider reimbursement. The bill sets critical timelines, including the submission of proposals and the start of service delivery, indicating a push for prompt action amidst the complex dynamics of healthcare policy.