History of Actions | Background | Title |
Description: Medicaid; continue current capitated managed care pilot program and establish an additional program.
| 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: Moody
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, IN SUCH OF THOSE COUNTIES WHERE THERE ARE AN ADEQUATE NUMBER OF PARTICIPATING MEDICAID PROVIDERS AND AN ADEQUATE NUMBER OF MEDICAID RECIPIENTS FOR THE PILOT PROGRAM TO BE FEASIBLE; 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 PROVIDER SERVICE ORGANIZATIONS FOR THE DELIVERY OF SERVICES IN THOSE THREE COUNTIES, AND SHALL CONTRACT WITH A PROVIDER SERVICE ORGANIZATION TO PROVIDE THE REQUIRED SERVICES IN THOSE COUNTIES; TO REQUIRE A PROVIDER SERVICE ORGANIZATION TO BE A NONPROFIT MISSISSIPPI CORPORATION TO BE ELIGIBLE TO BID FOR AND RECEIVE THE CONTRACT FOR THIS PILOT PROGRAM; TO REQUIRE THE PROVIDER SERVICE ORGANIZATION WITH WHICH THE DIVISION CONTRACTS UNDER THIS PILOT PROGRAM TO EXPEND NOT LESS THAN 90% OF THE CAPITATED PAYMENTS RECEIVED FROM THE DIVISION UNDER THE CONTRACT ON DIRECT PATIENT SERVICES; TO PROVIDE THAT ENROLLMENT AND PARTICIPATION IN THIS PILOT PROGRAM SHALL BE MANDATORY; TO PROVIDE THAT AFTER JUNE 30, 1997, MENTAL HEALTH SERVICES PROVIDED BY REGIONAL MENTAL HEALTH/RETARDATION CENTERS SHALL NOT BE INCLUDED IN OR PROVIDED UNDER THE CAPITATED MANAGED CARE PILOT PROGRAMS ADMINISTERED BY THE DIVISION; TO PROVIDE THAT MENTAL HEALTH SERVICES THAT ARE PROVIDED THROUGH ANY MEDICAID MANAGED CARE 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\HB0764.htm