MISSISSIPPI LEGISLATURE
2006 Regular Session
To: Medicaid
By: Representative Moak
AN ACT TO PROVIDE THAT MEDICAID BENEFICIARIES WHO HAVE A DIAGNOSIS OF DIABETES OR HYPERTENSION OR WHO HAVE A FAMILY HISTORY OF KIDNEY DISEASE SHALL BE EVALUATED FOR KIDNEY DISEASE; TO PROVIDE THAT MEDICAID BENEFICIARIES WHO HAVE BEEN DIAGNOSED WITH DIABETES OR HYPERTENSION OR WHO HAVE A FAMILY HISTORY OF KIDNEY DISEASE AND WHO HAVE RECEIVED A DIAGNOSIS OF KIDNEY DISEASE SHALL BE CLASSIFIED AS A CHRONIC KIDNEY PATIENT; TO PROVIDE THAT UNDER THE MEDICAID PROGRAM'S DISEASE MANAGEMENT PROGRAMS, MEDICAID BENEFICIARIES WHO ARE AT RISK FOR CHRONIC KIDNEY DISEASE SHALL BE TRACKED REGARDING APPROPRIATE DIAGNOSTIC TESTING; TO PROVIDE THAT MEDICAID PROVIDERS SHALL BE EDUCATED AND DISEASE MANAGEMENT STRATEGIES SHALL BE IMPLEMENTED BY THE DIVISION OF MEDICAID IN ORDER TO INCREASE THE RATE OF EVALUATION AND TREATMENT FOR CHRONIC KIDNEY DISEASE; AND FOR RELATED PURPOSES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
SECTION 1. (1) Any Medicaid beneficiary who has a diagnosis of diabetes or hypertension or who has a family history of kidney disease shall be evaluated for kidney disease through routine clinical laboratory assessments of kidney function.
(2) Any Medicaid beneficiary who has been diagnosed with diabetes or hypertension or who has a family history of kidney disease and who has received a diagnosis of kidney disease shall be classified as a chronic kidney patient.
(3) The diagnostic criteria that define chronic kidney disease should be generally recognized clinical practice guidelines, which identify chronic kidney disease or its complications based on the presence of kidney damage and level of kidney function.
(4) Under the Medicaid program's disease management programs provided under Section 43-13-117(47), Medicaid beneficiaries who are at risk for chronic kidney disease shall be tracked regarding appropriate diagnostic testing. Medicaid providers shall be educated and disease management strategies shall be implemented by the Division of Medicaid in order to increase the rate of evaluation and treatment for chronic kidney disease according to accepted practice guidelines including:
(a) Managing risk factors, which prolong kidney function or delay progression to kidney replacement therapy.
(b) Managing risk factors for bone disease and cardiovascular disease associated with chronic kidney disease.
(c) Improving nutritional status of chronic kidney disease patients.
(d) Correcting anemia associated with chronic kidney disease.
SECTION 2. This act shall take effect and be in force from and after July 1, 2006.