2E Relating to human services

ARTICLE 1 - INDIVIDUALIZED EDUCATION PLAN SERVICES

Modifying the cost-based payment structure for medical assistance (MA) payment of special education services by requiring costs to be reported through the department of education data systems for qualification

ARTICLE 2 - STATE HEALTH ACCESS PROGRAM

Removing certain restrictions for formation of community-based health care coverage programs

ARTICLE 3 - CHILDREN'S HEALTH INSURANCE REAUTHORIZATION ACT (CHIPRA)

Removing a restriction for infants MA benefits payment

ARTICLE 4 - LONG-TERM CARE PARTNERSHIP

Providing consumer protection standards for long-term care partnership policies; repealing the long-term care partnership policy inflation protection

ARTICLE 5 - MODIFICATION TO PROHIBITIONS ON ASSET TRANSFERS

Repealing MA prohibited transfers, period of ineligibility, homestead exception to transfer prohibition, other exceptions to transfer prohibition and notice of receipt of federal waiver

ARTICLE 6 - COMMUNITY CLINICS

Exempting federally qualified health centers and rural health clinics from the health care provider performance thresholds in the peer grouping system; changing the MA benefit for other clinic services by removing services of a clinic meeting criteria established by rule; defining nonprofit community clinic

ARTICLE 7 - DENTAL BENEFIT SET

Modifying (MA) dental benefits

ARTICLE 8 - PRIOR AUTHORIZATION FOR HEALTH SERVICES

Removing the requirement for the commissioner of human services (DHS) to publish a list of MA prior authorization required for health services and criteria and standards

ARTICLE 9 - DRUG FORMULARY COMMITTEE

Changing the formulary committee meeting frequency

ARTICLE 10 - PREFERRED DRUG LIST

Requiring all prescription drugs not on the preferred drug list to be subject to prior authorization

ARTICLE 11 - MULTISOURCE DRUGS

Modifying MA payment rates for multisource drugs

ARTICLE 12 - ADMINISTRATIVE UNIFORMITY COMMITTEE

Specifying the MA payment rate for home infusion therapy services

ARTICLE 13 - HEALTH PLANS

Making conforming changes

ARTICLE 14 - CLAIMS AGAINST THE STATE

Excluding federal government distribution portions from recoveries

ARTICLE 15 - PREPAID HEALTH PLANS

Modifying disposition of the managed care plan payments withhold

ARTICLE 16 - INCOME STANDARDS FOR ELIGIBILITY

Prohibiting income standards to go below a previously effective rate for medical assistance (MA) for families with children and general assistance medical care (GAMC)
(rt)