Current through the 2023 Regular Session
Section 53-6-1310 - [Terminates 6/30/2025on occurrence of contingency] Health risk analysis(1) Within 1 year of a program participant's enrollment in the program, the department shall use available claims data and other information collected directly from the participant to assess whether the participant would be better served in a coordinated care or other treatment model approved by the department.(2) Coordinated care models may include but are not limited to a: (a) medicaid health home;(b) patient-centered or advanced primary care medical home;(c) substance use disorder or mental health treatment or other treatment or prevention programs;(d) care coordination program;(e) tribal health improvement program; or(f) primary care case management arrangement.(3) The department is not required to complete a separate analysis for a participant who: (a) is already being served through a coordinated care model listed in subsection (2); or(b) has received primary care or preventative care services within the last 12 months. (Terminates June 30, 2025, on occurrence of contingency--sec. 48, Ch. 415, L. 2019.)Added by Laws 2019, Ch. 415,Sec. 3, eff. 1/1/2020, terminates upon occurrence of contingency (§ 48, c. 415, L. 2019).[Section 47 of Laws 2019, Ch. 415 provides: "Applicability. An individual enrolled in the expanded medicaid program provided for in Title 53, chapter 6, part 13, on the date the centers for medicare and medicaid services approves a waiver authorizing community engagement requirements shall comply with the community engagement requirements of [this act] within 180 days of the date the department of public health and human services has implemented the community engagement requirements."]