H1030 - 2016 Appropriations Act. (SL 2016-94)

Overview: Sec. 12A.7 of S.L. 2016-94 amends the implementation of the 2015 pilot program for Medicaid claims analytics and population health management as follows:

• Allocates $250,000 in recurring funds to the program for each year of the 2015-2017 fiscal biennium, and $1.25 million in nonrecurring funds is allocated for the 2016-2017 fiscal year to be used for the phased development, implementation, and operation of the pilot program.
• Directs the Department of Health and Human Services (DHHS) to provide access to Medicaid beneficiary files and local management entity/managed care organization encounter data for the pilot program.
• Expands the scope of the pilot program to include:
• The integration of new data sources, such as patient level Healthcare Effectiveness Data and Information Set quality measures.
• Customized reporting and analytics capabilities.
• A tool to construct and analyze claims as clinical episodes of care.
• Operationalization of the pilot program.
• Directs DHHS and the Government Data Analytics Center to submit a final report to the Joint Legislative Oversight Committee on Health and Human Services, the Joint Legislative Oversight Committee on Information Technology, and the Fiscal Research Division of the findings and recommendations on the pilot program by May 31, 2017.

This section became effective July 1, 2016.