History of Actions | Background | Title |
Description: Medicaid; continue current capitated managed care pilot program and establish new program (minority).
| 1 | 01/07/97 | (H) | Referred To Public Health and Welfare;Appropriations | |
| 2 | 02/04/97 | (H) | Died In Committee |
| Effective date | June 30, 1997 | |
| Disposition | Dead | |
| Deadline | General Bill/Constitutional Amendment | |
| Revenue | No | |
| 3/5ths vote required | No |
House Committees:
Principal Author: Flaggs
Code Section: A 043-0013-0117
Title: AN ACT TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE DIVISION OF MEDICAID SHALL EXPAND THE PRIMARY CARE CASE MANAGEMENT OR GATEKEEPER MANAGED CARE SYSTEM INTO ALL COUNTIES OF THE STATE IN WHICH A CAPITATED MANAGED CARE PILOT PROGRAM IS NOT MANDATED; TO PROVIDE THAT THE CAPITATED MANAGED CARE PILOT PROGRAM AUTHORIZED DURING THE 1996 REGULAR SESSION TO BE IMPLEMENTED IN 11 COUNTIES SHALL BE CONTINUED AFTER JUNE 30, 1997; TO PROVIDE THAT ENROLLMENT AND PARTICIPATION IN THIS PILOT PROGRAM SHALL BE MANDATORY; TO PROVIDE THAT DISPROPORTIONATE SHARE HOSPITAL PAYMENTS UNDER THE MEDICAID PROGRAM SHALL BE WITHHELD FROM HOSPITALS IN THE PILOT PROGRAM COUNTIES THAT REFUSE TO PARTICIPATE IN THE PILOT PROGRAM; TO PROVIDE THAT ANY MEDICAID RECIPIENT WHO ENROLLS IN THIS PILOT PROGRAM MUST REMAIN IN THE PILOT PROGRAM FOR NOT LESS THAN ONE YEAR BEFORE THE RECIPIENT WILL BE ALLOWED TO DISENROLL; TO PROVIDE THAT THE DIVISION SHALL ESTABLISH ANOTHER CAPITATED MANAGED CARE PILOT PROGRAM IN HINDS, MADISON AND RANKIN COUNTIES TO BE IMPLEMENTED BEGINNING JULY 1, 1997; TO PROVIDE THAT THE DIVISION SHALL REQUEST PROPOSALS AND BIDS FROM ELIGIBLE HEALTH MAINTENANCE ORGANIZATIONS FOR THE DELIVERY OF SERVICES IN THOSE THREE COUNTIES, AND SHALL CONTRACT WITH ONE OR MORE HEALTH MAINTENANCE ORGANIZATIONS TO PROVIDE THE REQUIRED SERVICES IN THOSE COUNTIES; TO REQUIRE A HEALTH MAINTENANCE ORGANIZATION TO HAVE A CERTIFICATE OF AUTHORITY FROM THE COMMISSIONER OF INSURANCE TO BE ELIGIBLE TO BID FOR AND RECEIVE THE CONTRACT FOR THIS PILOT PROGRAM; TO PROVIDE THAT ENROLLMENT AND PARTICIPATION IN THIS PILOT PROGRAM SHALL BE MANDATORY; TO PROVIDE THAT MENTAL HEALTH SERVICES THAT ARE PROVIDED THROUGH ANY MEDICAID CAPITATED MANAGED CARE PILOT PROGRAM SHALL INCLUDE SERVICES FOR THE TREATMENT OF SUBSTANCE ABUSE; TO AMEND SECTION 4 OF CHAPTER 146, 1996 REGULAR SESSION, TO DELETE THE REPEALER ON THE CAPITATED MANAGED CARE PILOT PROGRAM AUTHORIZED DURING THE 1996 SESSION TO BE IMPLEMENTED IN 11 COUNTIES; AND FOR RELATED PURPOSES.
End Of Document
1997/History/HB\HB0042.htm