Mississippi Legislature

1997 Regular Session

Senate Bill 2146

[Introduced] [Passed Senate]

Instructions Bill Status Menu





History of Actions

Background

Title

Description: Medicaid; continue current capitated managed care pilot program and establish an additional program.

History of Actions:

101/07/97(S)Referred To Public Health and Welfare;Appropriations
201/30/97(S)DR - TSDPCS: PH To AP
301/30/97(S)Title Suff Do Pass Comm Sub
402/12/97(S)Committee Substitute Adopted
502/12/97(S)Amended
602/12/97(S)Passed As Amended
702/12/97(S)Motion to Reconsider Entered
802/14/97(S)Motion to Reconsider Tabled
902/18/97(S)Transmitted To House
1002/18/97(H)Referred To Public Health and Welfare;Appropriations
1102/27/97(H)DR - TSDPAA: PH To AP
1203/04/97(H)DR - TSDPAA: AP To PH
1303/04/97(H)Title Suff Do Pass As Amended
1403/10/97(H)Tabled Subject To Call
1503/11/97(H)Amended
1603/11/97(H)Passed As Amended
1703/11/97(H)Motion to Reconsider Entered
1803/13/97(H)Motion to Reconsider Tabled
1903/14/97(H)Returned For Concurrence
2003/18/97(S)Decline to Concur/Invite Conf
2103/20/97(S)Conferees Named Simmons,Hall,Bean
2203/24/97(H)Conferees Named Moody,Holland,Stevens
2304/01/97(S)Conference Report Adopted
2404/01/97(H)Conference Report Failed
2504/01/97(H)Motion to Reconsider Entered
2604/04/97(H)Died On Calendar

Background Information:

Effective dateJune 30, 1997
DispositionDead
DeadlineGeneral Bill/Constitutional Amendment
RevenueNo
3/5ths vote requiredNo

Senate Committees:

House Committees:

Principal Author: Bean

Additional Author: Hall

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 ENROLLMENT IN THIS PILOT PROGRAM SHALL BE MANDATORY; 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 CERTAIN CONDITIONS RELATING TO A SUBCAPITATOR OF THE PROVIDER SERVICE ORGANIZATION; 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 REQUIRE THE DEVELOPMENT OF A MEDICAID REIMBURSEMENT PROGRAM FOR SPECIAL EDUCATION RELATED SERVICES; 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.


Information pertaining to this measure was last updated on 04/04/97 at 18:13.



End Of Document

1997/History/SB\SB2146.htm