- (a) As used in this section, "qualified provider" refers to a health provider authorized by the office to provide Medicaid presumptive eligibility services.
- (b) The office shall present a report to the interim study committee on public health, behavioral health, and human services not later than September 30 of each year, regarding the use of qualified providers to undertake presumptive eligibility services under the Medicaid program.
(c) The report must include the following:
- (1) The number of presumptive eligibility qualified providers and their location and distribution in the state.
- (2) The number of presumptive eligibility applications submitted and in a per provider format.
- (3) The number and percent of presumptive eligibility applications submitted that were approved or denied and the information in a per provider and by county format.
- (4) The number and percent of presumptive eligibility applications that resulted in a Medicaid application submission and the information in a per provider and by county format.
- (5) The number and percent of presumptive eligibility applications that were subsequently approved or denied for full coverage and the information in a per provider and by county format.
- (6) The method the office used to communicate presumptive eligibility opportunities to qualified providers and health consumers.
- (7) The error rate of qualified providers in accepting presumptive eligibility applications that were subsequently determined to be ineligible.
- (8) The education and technical assistance and availability provided by the office for ongoing training and retention of qualified providers.
- (9) Any other information the office considers relevant on the use of qualified providers in carrying out presumptive eligibility services under the Medicaid program.
- (d) This section expires January 1, 2018.
As added by P.L.185-2015, SEC.10.