MEDICAID COUNTY OF ORIGIN.

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View NCGA Bill Details2015-2016 Session
House Bill 684 (Public) Filed Monday, April 13, 2015
AN ACT TO PROVIDE FOR LOCAL MANAGEMENT ENTITIES/MANAGED CARE ORGANIZATIONS (LME/MCOS) USING SINGLE CASE AGREEMENTS IN LIEU OF COMPREHENSIVE PROVIDER CONTRACTS WITH BEHAVIORAL HEALTH PROVIDERS LOCATED OUTSIDE THE LME/MCO'S CATCHMENT AREA SERVING NO MORE THAN TWO OF THE LME/MCO'S ENROLLEES AND TO ADJUST THE COUNTY OF RESIDENCE FOR MEDICAID ELIGIBILITY FOR LME/MCO ENROLLEES.
Intro. by Avila, Lambeth, Hager, Malone.
Status: Ref To Com On Health (House Action) (Apr 14 2015)

Bill History:

H 684

Bill Summaries:

  • Bill H 684 (2015-2016)
    Summary date: Apr 14 2015 - View Summary

    Directs the Department of Health and Human Services (DHHS), in consultation with local management entities/managed care organizations (LME/MCOs), to develop a single case agreement template for use between a single provider of behavioral health services and an LME/MCO to serve a single patient. Requires the use of the template beginning July 1, 2015, when two conditions are met: (1) the provider's site of service delivery is outside the area that the LME/MCO serves and (2) the provider is serving no more than two enrollees of the LME/MCO. 

    Sets out guidelines, effective July 1, 2017, for establishing the county of residence for Medicaid eligibility for all LME/MCO enrollees. 

    Government, State Agencies, Department of Health and Human Services, Health and Human Services
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