249A.36 - MEDICAL ASSISTANCE QUALITY IMPROVEMENT COUNCIL.
249A.36 MEDICAL ASSISTANCE QUALITY IMPROVEMENT
COUNCIL.
1. A medical assistance quality improvement council is
established. The council shall evaluate the clinical outcomes and
satisfaction of consumers and providers with the medical assistance
program. The council shall coordinate efforts with the cost and
quality performance evaluation completed pursuant to section 249J.16.
2. a. The council shall consist of eight voting members who
are not members of the general assembly. The voting members shall be
appointed two each by the majority leader of the senate, the minority
leader of the senate, the speaker of the house, and the minority
leader of the house of representatives. At least one member of the
council shall be a consumer and at least one member shall be a
medical assistance program provider. An individual who is employed
by a private or nonprofit organization that receives one million
dollars or more in compensation or reimbursement from the department,
annually, is not eligible for appointment to the council. The
members shall serve terms as provided in section 69.16B, and
appointments shall comply with sections 69.16, 69.16A, and 69.16C.
Members shall receive reimbursement for actual expenses incurred
while serving in their official capacity and may also be eligible to
receive compensation as provided in section 7E.6. Vacancies shall be
filled by the original appointing authority and in the manner of the
original appointment. A person appointed to fill a vacancy shall
serve only for the unexpired portion of the term.
b. The members shall select a chairperson, annually, from
among the membership. The council shall meet at least quarterly and
at the call of the chairperson. A majority of the members of the
council constitutes a quorum. Any action taken by the council must
be adopted by the affirmative vote of a majority of its voting
membership.
c. The department shall provide administrative support and
necessary supplies and equipment for the council.
3. The council shall consult with and advise the Iowa Medicaid
enterprise in establishing a quality assessment and improvement
process.
a. The process shall be consistent with the health plan
employer data and information set developed by the national committee
for quality assurance and with the consumer assessment of health care
providers and systems developed by the agency for health care
research and quality of the United States department of health and
human services. The council shall also coordinate efforts with the
Iowa healthcare collaborative and the state's Medicare quality
improvement organization to create consistent quality measures.
b. The process may utilize as a basis the medical assistance
and state children's health insurance quality improvement efforts of
the centers for Medicare and Medicaid services of the United States
department of health and human services.
c. The process shall include assessment and evaluation of
both managed care and fee-for-service programs, and shall be
applicable to services provided to adults and children.
d. The initial process shall be developed and implemented by
December 31, 2008, with the initial report of results to be made
available to the public by June 30, 2009. Following the initial
report, the council shall submit a report of results to the governor
and the general assembly, annually, in January. Section History: Recent Form
2008 Acts, ch 1188, §56; 2009 Acts, ch 106, §8, 14