Public Policy
MEDICAID
01/01/2017
(RESOLUTION 15-38) RESOLVED, the ISMA advocate that the Office of Medicaid Policy and Planning pay for the medication-assisted treatment of nicotine-use disorders beyond three months in a 12-month period. (READOPTED 12-56, HOD; RESOLUTION 02-42) RESOLVED, that the ISMA seek through any means available to have the Office of Medicaid Policy and Planning rescind the revised crossover claims methodology to more appropriately reimburse physicians for services provided.  (RESOLUTION 11-57) RESOLVED, that the ISMA support that any leveraged money gained by the hospital fee agreement to leverage federal payments be kept within the Medicaid program(s), and that those dollars be used to improve physician payment schedules. (RESOLUTION 11-43) RESOLVED that the ISMA petition the Office of Medicaid Policy and Planning to:  (1) make Medicaid spend-down collection regulations equal for physicians and pharmacies; and (2) modify the Medicaid spend-down collection regulations allowing physicians to collect Medicaid spend-down payments for out-of-pocket pharmacy expenses and services at the time these expenses are accrued and services are provided, removing inconvenience and delay of treatment for patients and giving more incentive for physicians to accept Medicaid patients. (RESOLUTION 11-25) RESOLVED, that the ISMA petition the Office of Medicaid Policy and Planning, the state and the Indiana legislature (as needed) to adapt or modify the Right Choices Program in ways to avoid the many intrusions into the physician/patient relationship that can result in prescribing medications without having seen or examined a patient, as well as disrupting the normal work flow of a physician office. (READOPTED 11-20, HOD; RESOLUTION 01-38) RESOLVED the ISMA recognize and acknowledge that the Medicaid program faces serious funding problems in light of recent economic projections regarding the state budget; and be it further, RESOLVED, that state legislation be initiated to assure state pharmaceutical rebate monies be returned to the Medicaid program and not the state's general fund; and be it further, RESOLVED the ISMA, through its Board of Trustees and Commission on Legislation, immediately study efforts by other states to solve this problem in the Medicaid program and move forward in the next state legislative session with any means feasible in Indiana; and be it further, RESOLVED, that if cost containment for medications in Medicaid requires the use of a Medicaid formulary, the ISMA actively seek participation in the construction of the formulary. (RESOLUTION 10-17) RESOLVED, that ISMA policy is to increase Medicaid reimbursement to at least 100 percent of the greater of the Medicare reimbursement formula as of July 1, 2010, or the current level of reimbursement.  (READOPTED 09-62, HOD; RESOLUTION 99-56) RESOLVED, that the ISMA advocate for an adjustment of all Medicaid reimbursement rates in Indiana in order to bring Indiana's rates in line with Medicare rates in order to improve access to care for the growing number of Medicaid patients in our state.  (RESOLUTION 09-25) RESOLVED, that the ISMA through legislation, regulation or agreements work to stop the automatic assigning of managed care organization coverage for newborn infants in Indiana; and be it further,   RESOLVED, that the ISMA through legislation, regulation or agreements work to ensure that managed care organization coverage for newborn infants is retroactive to birth; and be it further, RESOLVED, that the ISMA through legislation, regulation or agreements work to ensure managed care organization assignment is based upon the parent/family choice and/or the physician of record for services provided from birth, allowing appropriate contracted payment for services provided.  (RESOLUTION 08-20) RESOLVED, that the ISMA support legislation or administrative procedures to provide that Medicaid recipients enrolled in a Medicaid plan be required to remain in the same plan for one year, or the duration of their coverage if less than one year, so that patients have continuity of care through a medical home. (READOPTED 08-15, HOD; RESOLUTION 98-23) RESOLVED, that the ISMA support legislation to provide Medicaid coverage for a period of nine months for all uninsured and poor patients with active tuberculosis. (1/17/93, BOT) Approved the following report, as amended, from the ISMA Medicaid Reform Task Force: A case management system should be implemented, including co-payments and deductibility of co-payments from other state support payments to the patient, if the patient fails to comply with co-payment requirements. Optional benefits should be reduced and a basic benefits package should be provided. The Health Professions Bureau (HPB) should be responsible for investigating fraud and abuse in the Medicaid program, and funding should be provided to the HPB to undertake these activities. The proposals here should be financed with an income tax increase, a sin tax on alcohol and cigarettes, eliminating the scheduled physician payment increase, and implementation of an RBRVS reimbursement schedule for Medicaid.
Legislative News Articles
Licensing [02/27/2017]
Licensing [02/27/2017]
Licensing [02/27/2017]
Insurance [02/27/2017]
Pharmacy [02/27/2017]
Pharmacy [02/27/2017]
Miscellaneous [02/27/2017]
Public Health [02/27/2017]
Prescribing [02/27/2017]
Prescribing [02/27/2017]
Prescribing [02/27/2017]
Introduction [02/27/2017]
Medicaid [02/27/2017]
Medicaid [02/27/2017]
Medicaid [02/27/2017]