Connecticut Seal

General Assembly

Amendment

 

January Session, 2009

LCO No. 7719

   
 

*HB0640207719HDO*

Offered by:

 

REP. VILLANO, 91st Dist.

REP. HAMM, 34th Dist.

SEN. PRAGUE, 19th Dist.

 

To: Subst. House Bill No. 6402

File No. 919

Cal. No. 332

After the last section, add the following and renumber sections and internal references accordingly:

"Sec. 501. Section 17b-307 of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):

(a) Notwithstanding any provision of the general statutes, not later than [November 1, 2007] January 1, 2010, the Department of Social Services shall [develop a plan to] implement a [pilot] state-wide program for the delivery of health care services through a system of primary care case management to [not less than one thousand] provide medical assistance to all individuals who are [otherwise] eligible to receive [HUSKY Plan, Part A] benefits under chapter 319v and who elect to participate in the program. For purposes of this section, "primary care case management" means a system of care in which the health care services for program beneficiaries are coordinated by a primary care provider chosen by or assigned to the beneficiary.

(b) Not later than July 1, 2009, the department shall begin recruiting providers and consumers to participate in the optional primary care case management program.

(c) The department shall develop and implement a marketing campaign for the purpose of promoting the optional primary care case management program. Such marketing campaign shall include, but not be limited to, media advertising, community meeting presentations, health fairs, and in-service training for providers of social services and health care.

(d) The department shall, with the participation of consumer advocates and providers of social services and health care, develop consumer marketing and informational materials for the program, including a brochure describing program benefits and a primary care case management member handbook. Not later than July 1, 2009, the department shall disseminate such consumer materials to individuals eligible for benefits under chapter 319v.

(e) Not later than October 1, 2010, the department shall develop program standards for care management and risk assessment.

(f) [Such plan shall be submitted] Not later than October 1, 2010, the Commissioner of Social Services shall select an independent evaluator that the commissioner recommends to evaluate the program and submit the name of the recommended evaluator to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies. Not later than thirty days after the date [of receipt of such plan] the commissioner submits the evaluator's name, said joint standing committees of the General Assembly shall hold a joint [public hearing to review such plan] meeting to consider the credentials of the recommended evaluator. Said joint standing committees of the General Assembly [may] shall advise the commissioner of their approval or [denial or modifications, if any,] rejection of the [plan] commissioner's recommendation for an evaluator. [Primary care providers participating in the primary care case management system shall provide program beneficiaries with primary care medical services and arrange for specialty care as needed. For purposes of this section, "primary care case management" means a system of care in which the health care services for program beneficiaries are coordinated by a primary care provider chosen by or assigned to the beneficiary. The Commissioner of Social Services shall begin enrollment for the primary care case management system not later than April 1, 2008. ] If said committees reject the commissioner's recommendation for an evaluator, not later than thirty days after the date of such rejection the commissioner shall select another evaluator to recommend to said committees and submit such evaluator's name to said committees for their approval in accordance with this subsection.

(g) The evaluator approved by the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies, pursuant to subsection (f) of this section, shall begin a comprehensive evaluation of the primary care case management program on January 15, 2011, or one year after the date of the program's implementation, whichever is later. The evaluation shall include, but not be limited to, a customer satisfaction survey. The evaluator shall prepare a report on the results of the evaluation and submit such report to the commissioner. Such report shall include, but not be limited to, the results of the customer satisfaction survey and any recommendations for improvement of the program. Not later than ten days after the commissioner's receipt of the evaluator's report, the commissioner shall submit, in accordance with section 11-4a, a copy of the report to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations.

(h) The Commissioner of Social Services may secure administrative support services for the primary care case management program, except the commissioner shall not enter into a contract for the provision of such services with a provider of comprehensive health care services as described in subsection (b) of section 17b-266.

(i) Notwithstanding the provisions of sections 1-210 and 1-218, records maintained by primary care case management providers shall not be subject to public disclosure."