The Legislative Council is authorized to establish a task force to undertake and complete a study of Medicaid managed care programs, including comparison of the costs and benefits of Medicaid managed care services and value-based services, and to make recommendations regarding a comprehensive Medicaid managed care program in Idaho, with the goal of reducing costs, achieving a predictable and transparent Medicaid budget, improving health care access and outcomes, and ensuring network adequacy for Medicaid participants. The Legislative Council shall determine the number of legislators and membership from each house appointed to the task force [...]
The legislation expands the ability of Idaho citizens in rural and underserved areas to access health care from providers who are not physically present in a patient's geographical area. The legislation updates the Idaho Telehealth Access Care Act in Title 54, Chapter 57, Idaho Code by changing the term "telehealth" to "virtual care," and clarifies virtual care practice requirements. This legislation also provides a permanent solution to lessons learned through COVID-19 related to technology limitations and best practice interstate licensure exemptions for qualified provider’s licensed and in good standing in another state to provide [...]
This is the FY 2024 original appropriation bill for the Department of Health and Welfare's Division of Medicaid. It appropriates a total of $4,539,917,000 and caps the number of authorized full-time equivalent positions at 213.00. Other actions were taken for the Division of Medicaid, and the table below reflects all of the othersupplementals contained in other bills. H323 of 2023 contained supplemental 1 for the Public Health Emergency; supplemental 4 for Early and Periodic Screening Assessment; supplemental 5 for Receipt Authority; and supplemental 6 for Upper Payment Limit Increase. S1195 of 2023 contained supplemental [...]
Over a third of women in Idaho do not have health insurance prior to pregnancy and do not have access to health coverage beyond 60 days postpartum. This legislation will improve health access for pregnant/postpartum women and infants and ensure 12 months postpartum health coverage for women.
This legislation requires that several program integrity and cost-saving measures be implemented in Medicaid as a condition for the continued expansion of eligibility to able-bodied adults under the Affordable Care Act. These conditions include a work requirement and enrollment caps for able-bodied adults and a requirement that the improper payment rate in Medicaid be reduced to 5 percent or less.
Amends existing law to provide for enforcement of provisions applicable to pharmacy benefit managers.
The purpose of this legislation is to establish minimum and uniform standards and criteria for the audit of pharmacy records by or on behalf of pharmacy benefit managers and other authorized entities.
2022 has been an active year in healthcare consolidation as well as for merger challenges and enforcement. As we approach the year end, healthcare deals continued as many entities seek to close the transactions before the new year. Increasingly, as seen in the 4th quarter, healthcare deals are shifting to cross-market transactions, making review and enforcement efforts more challenging. In case you missed it, this final Litigation and Enforcement Highlights of the year will help you catch up on some of the cross-market deals in Q4 2022 that caught our attention. Advocate Aurora [...]
HEALTH SAVINGS ACCOUNTS -- Amends existing law to revise provisions regarding the state contribution to state employees' health savings accounts.