Bill Summaries: H75 (2011-2012 Session)

  • Summary date: Feb 10 2011 - View summary

    As titles indicates. Directs the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services of the Department of Health and Human Services to report to specified entities by September 1, 2012, on the implementation of utilization review by designated local management entities (LMEs) for services provided under the CAP-MR/DD Medicaid waiver. Requires the report to include: (1) a comparison of the costs associated with transferring the utilization review function to four designated LMEs against the costs associated with maintaining the current statewide vendor contract for utilization review; (2) information on the number of CAP-MR/DD recipients who received utilization review services from the four designated LMEs between January 1, 2011, and January 1, 2012; and (3) a description of accountability measures used by the four designated LMEs to ensure utilization review decision accuracy.