Provides requirements relative to primary care case management within the Medicaid managed care program (OR See Note)
Impact
If enacted, HB 688 will ensure that primary care case management is a permanent fixture within the state's Medicaid program. This is significant because it formalizes and secures a structured approach to healthcare management for low-income residents that rely on Medicaid. By doing so, it aims to improve patient outcomes through better coordination of care, particularly for those who might otherwise face barriers in accessing consistent and coherent healthcare services.
Summary
House Bill 688 focuses on establishing requirements for the primary care case management program within Louisiana's Medicaid managed care framework. This bill mandates that the Department of Health and Hospitals (DHH) maintain a primary care case management program as long as it operates a Medicaid managed care program. Additionally, the bill specifies that DHH must provide all primary care case management options to Medicaid enrollees at any time they are eligible to enroll in the managed care program, thus enhancing accessibility.
Sentiment
The general sentiment surrounding House Bill 688 appears to be supportive among healthcare advocates and stakeholders who prioritize the enhancement of Medicaid services. Proponents believe that having a robust primary care case management system will greatly benefit Medicaid enrollees by simplifying the navigation of healthcare services and potentially leading to better health outcomes. However, there might also be concerns regarding the implementation and resource allocation needed by DHH to uphold these requirements effectively.
Contention
While there is support for HB 688, discussions may emerge around the adequacy of funding and resources necessary for DHH to successfully enforce and maintain the primary care case management program. Stakeholders might voice apprehensions over whether the state has the capacity to fulfill the requirements set forth by the bill, particularly as it relates to ensuring that all Medicaid enrollees have access to these essential services. Thus, the efficiency of resource management and program enforcement remains a potential point of contention.
Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)
Establishes the Medicaid Managed Care Authority as a policymaking and oversight body for the Medicaid managed care program (OR INCREASE GF EX See Note)
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.