Sec. 2. Reauthorization of certain Medicare Advantage Special Needs Plans

159 words·~1 min read·/bill/113/hr/4484/ih/section-2

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Section 1859(f)(1) of the Social Security Act ( 42 U.S.C. 1395w–28(f)(1) ) is amended by inserting , in the case of a specialized MA plan for special needs individuals who are not described in section 1859(b)(6)(B)(ii), before for periods before January 1, 2015 . Section 1859(f)(3) of the Social Security Act ( 42 U.S.C. 1395w–28(f)(3) ) is amended by adding at the end the following new subparagraph: Not later than December 31, 2018, the plan is fully integrated with capitated contracts with States for any Medicaid benefits, including long-term care and behavioral health, to the extent State law permits capitation of such services under such plan. .

Section 1852(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395w–22(a)(1)(B) ) is amended by adding at the end the following new clause: The Secretary, in coordination with State Medicaid Directors, shall develop a clearly defined role for State Medicaid agencies in contracting and oversight of plans described in clause (v)(II). .

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42 USC 1395w–28(f)(1)
42 USC 1395w–28(f)(3)
42 USC 1395w–22(a)(1)(B)

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Sec. 2

Reauthorization of certain Medicare Advantage Special Needs Plans

Cite42 USC 1395w–28(f)(1)

Cite42 USC 1395w–28(f)(3)

Cite42 USC 1395w–22(a)(1)(B)

Cites 3Cited by 0 across 0 sources