Requests DHH to develop a plan for the creation of a demonstration program to coordinate and integrate the health care for an individual eligible for both Medicare and Medicaid.
Impact
If implemented, SCR127 would potentially reshape the delivery of healthcare for dual eligibles in Louisiana. By coordinating services between Medicare and Medicaid, the program aims to streamline care and potentially reduce costs associated with fragmented service delivery. The resolution mandates that DHH considers input from existing Medicare managed care plans, ensuring that the diversity of care options remains intact for beneficiaries. Additionally, it emphasizes the right of individuals to choose their existing Medicare plans, promoting autonomy and continuity of care for vulnerable populations.
Summary
Senate Concurrent Resolution No. 127 (SCR127) urges and requests the Louisiana Department of Health and Hospitals (DHH) to develop a plan for a demonstration program to better coordinate and integrate healthcare for individuals eligible for both Medicare and Medicaid, known as dual eligibles. The resolution highlights the importance of improving health outcomes for this vulnerable population while ensuring that existing Medicare managed care plans' progress and quality of care are not compromised. The resolution is rooted in the recognition of innovative healthcare reforms supported by the Centers for Medicare and Medicaid Services (CMS). Overall, the bill aims to leverage existing resources to enhance service delivery for dual eligibles.
Sentiment
The sentiment surrounding SCR127 appears to be generally positive among healthcare advocates, who recognize the need for improved coordination between Medicare and Medicaid. Lawmakers have expressed support for the resolution, reflecting a willingness to innovate and address the complexities faced by dual eligibles. However, there are underlying apprehensions about maintaining quality and access to care, especially as new programs are developed. While the initiative aims to improve healthcare integration, stakeholders are keen to ensure that the rights and choices of individuals are safeguarded before any changes are instituted.
Contention
The main contention regarding SCR127 revolves around the balance between enhancing care coordination and preserving the existing quality of services provided by Medicare managed care plans. Advocates for the bill stress its potential benefits, yet there are concerns about the possibility of disruption in care continuity for dual eligibles. Additionally, stakeholders emphasize the need for robust stakeholder engagement to address regional disparities and specific community needs. The resolution's implementation could prompt debates over the management of existing Medicare and Medicaid programs, particularly in terms of rights and choice for beneficiaries.
Requests the Department of Health and Hospitals to develop a plan for the creation of a demonstration program to coordinate and integrate the health care for an individual eligible for both Medicare and Medicaid.
Requests the Louisiana Department of Health to coordinate with stakeholders to develop a healthcare plan for individuals with intellectual and developmental disabilities
Relating to the development and implementation of the Texas Plan demonstration program to fund the purchase by and provision to certain eligible individuals of health care services.
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.
Relating to expanding eligibility for benefits under the Medicaid program and transitioning the delivery of benefits under the Medicaid program from delivery through a managed care model or arrangement to delivery through an integrated and coordinated health care delivery system.
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.