Suspends administrative rules providing for Medicaid Coordinated Care Networks
Impact
The resolution's main focus is to allow the Department of Health and Hospitals to resolve ongoing implementation issues of the Coordinated Care Network system that have included miscommunication regarding physician participation and significant delays in payments to healthcare providers. These problems could jeopardize access to adequate healthcare, particularly for Medicaid recipients. Therefore, the suspension of the specific administrative rules seeks to ensure that the department can effectively respond to and remedy operational barriers that may threaten the stability of healthcare services.
Summary
HCR51 is a House Concurrent Resolution from Louisiana that aims to suspend administrative rules related to the Medicaid Coordinated Care Network system in areas where the program has not been implemented. The resolution acknowledges the ongoing issues faced by the Department of Health and Hospitals in executing the Coordinated Care Network and seeks to provide them with the necessary time to address these challenges. By suspending the provisions of the Louisiana Administrative Code, the resolution endeavors to mitigate the impact on healthcare access, especially for the medically needy.
Sentiment
The sentiment surrounding HCR51 appears to be supportive overall, as it recognizes the crucial need for efficient healthcare delivery within the state. Legislators seem to agree that addressing the implementation challenges associated with the Coordinated Care Network is essential for maintaining access to healthcare for vulnerable populations. However, there may also be concerns regarding the time taken to resolve these issues and how delays might affect Medicaid recipients in the interim.
Contention
Contentions surrounding HCR51 may arise from the impact of suspending existing administrative provisions on future healthcare services and regulations. While the resolution aims to provide the department with the flexibility needed to improve the Coordinated Care Network's operations, there could be apprehensions from stakeholders about temporary gaps in healthcare provision and the implications of delaying the implementation in affected geographic areas.
Amends administrative rules to cause La. Medicaid eligibility standards to conform to those established in the Affordable Care Act (OR INCREASE GF EX See Note)
Amends administrative rules to cause La. Medicaid eligibility standards to conform to those established in the Affordable Care Act (OR DECREASE GF EX See Note)
Provides relative to prescription drug benefits of certain managed care organizations participating in the La. Medicaid coordinated care network program (RE1 INCREASE GF EX See Note)
Amends administrative rules to provide that La. Medicaid eligibility standards conform to those established in the Affordable Care Act (OR DECREASE GF EX See Note)
Relating to the operation and administration of Medicaid, including the Medicaid managed care program and the medically dependent children (MDCP) waiver program.