Medicaid; DMAS to develop and implement long-term care system. (SB659)
Introduced By
Sen. Steve Martin (R-Chesterfield)
Progress
√ |
Introduced |
X |
Passed Committee |
☐ |
Passed House |
☐ |
Passed Senate |
☐ |
Signed by Governor |
☐ |
Became Law |
Description
Medicaid; coordinated long-term care. Directs the Director of the Department of Medical Assistance Services to develop and implement a statewide fully integrated risk-based long-term care system that integrates Medicaid-reimbursed primary, acute, and long-term care services. The long-term care system shall expand access to and utilization of cost-effective home and community-based alternatives to institutional care for Medicaid-eligible individuals. The system shall include a nursing facility transition initiative, along with an expansion of community-based services, and an acuity-based methodology for reimbursement of nursing facility services. View Full Text »


Comments
This bill would place all persons with Medicaid (very low-income individuals) into a managed care program for primary, acute, and long-term care services. No longer would a state agency (Department of Medical Assistance Services or DMAS) manage reimbursements for the services. This significant departure from current practice needs further study by a bi-partisan, independent panel of healthcare professionals. This bill, if enacted, would place substantial control of billions of state funds in the hands of private insurers. The question is, from a consumer standpoint, is the public interest being well-served? Instead of immediately authorizing development of the program and implementation, a study committee is warranted.
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