Citations Affected: IC 12-15-12-19.
Synopsis: Medicaid disease management and kidney disease. Requires
the Medicaid disease management program for Medicaid recipients
with diabetes or hypertension to include education on kidney disease
and the benefits of being evaluated for kidney disease.
Effective: July 1, 2007.
January 11, 2007, read first time and referred to Committee on Public Health.
A BILL FOR AN ACT to amend the Indiana Code concerning
and guidance from the state department of health and other
experts in health care case management or disease management
(c) The office shall implement:
(1) a pilot program for at least two (2) of the diseases listed in subsection (b) not later than July 1, 2003; and
(2) a statewide chronic disease program as soon as practicable after the office has done the following:
(A) Evaluated a pilot program described in subdivision (1).
(B) Made any necessary changes in the program based on the evaluation performed under clause (A).
(d) The office shall develop and implement a program required under this section in cooperation with the state department of health and shall use the following persons to the extent possible:
(1) Community health centers.
(2) Federally qualified health centers (as defined in 42 U.S.C. 1396d(l)(2)(B)).
(3) Rural health clinics (as defined in 42 U.S.C. 1396d(l)(1)).
(4) Local health departments.
(6) Public and private third party payers.
(e) The office may contract with an outside vendor or vendors to assist in the development and implementation of the programs required under this section.
(f) The office and the state department of health shall provide the select joint commission on Medicaid oversight established by IC 2-5-26-3 with an evaluation and recommendations on the costs, benefits, and health outcomes of the pilot programs required under this section. The evaluations required under this subsection must be provided not more than twelve (12) months after the implementation date of the pilot programs.
(g) The office and the state department of health shall report to the select joint commission on Medicaid oversight established by IC 2-5-26-3 not later than November 1 of each year regarding the programs developed under this section.
(h) The disease management program services for a recipient diagnosed with diabetes or hypertension must include education for the recipient on kidney disease and the benefits of having evaluations and treatment for chronic kidney disease according to accepted practice guidelines.