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)