Medicaid risk based managed care.
Summary
Requires review by the budget committee before a request for proposal for the procurement of a covered population in a risk based managed care program or a capitated managed care program (program) is issued. Sets forth requirements that the office of the secretary (office) must ensure are met before the office may contract with an entity to operate a program. Sets forth provisions that must be included in a contract with an entity to operate the program. Requires the office to do the following: (1) determine all eligibility requirements; and (2) determine the base reimbursement rate structure, methodology, and reimbursement rates that are sufficient to provide an adequate number of providers to provide home and community based services. Requires a managed care organization to contract with any providers that meet specified requirements for the program. Prohibits a managed care organization from delegating or subcontracting specified functions within the program unless certain conditions are met. Requires the office to apply to amend the aged and disabled waiver to ensure that an individual in need of waiver services is authorized for reimbursable services within 72 hours of determining the individual would qualify for Medicaid and the waiver services. Expires the program on July 1, 2027. Requires the office to annually provide the budget committee information concerning the number of Medicaid recipients in certain categories and reimbursement rates for home and community based services. Allows the office of the attorney general to investigate and prosecute complaints concerning employment agencies. Provides that the division of consumer protection is responsible for the investigation of complaints concerning employment agencies.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2022
Committee Review
Feb 2022
Senate Passage
Feb 2022
House Passage
Governor
Introduced Jan 12, 2022
Last action Feb 17, 2022
Floor votes · Senate Feb 1, 2022
How they voted
44–2
Passed
Total votes 46
Feb 1, 2022
D
Democratic10
80% Yea
R
Republican36
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
17
Key actions
4
Committee
5
Amendments
1
Feb 17, 2022
Committee
Referred to the Committee on Ways and Means pursuant to House Rule 127
lower
Feb 17, 2022
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 2, 2022
Committee
Referred to the House
upper
Feb 1, 2022
Upper · Passed
Third reading: passed; Roll Call 189: yeas 47, nays 2
upper
Jan 31, 2022
Amended
Amendment #1 (Messmer) prevailed; voice vote
upper
Jan 27, 2022
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 20, 2022
Upper · Passed
Committee report: do pass adopted; reassigned to Committee on Appropriations
upper
3 primary · 10 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ed Charbonneau
RRepublican
P
Mike Karickhoff
RRepublican
P
Ryan Mishler
RRepublican
Co
Brad Barrett
RRepublican
Co
Eric Bassler
RRepublican
Co
Jean Leising
RRepublican
Co
Jon Ford
RRepublican
Co
Justin Busch
RRepublican
Co
Liz Brown
RRepublican
Co
Lonnie Randolph
DDemocratic
Co
Matt Lehman
RRepublican
Co
Robin Shackleford
DDemocratic
Co
Vaneta Becker
RRepublican
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