26-18-14 - Strategic plan for health system reform -- Medicaid program.
26-18-14. Strategic plan for health system reform -- Medicaid program.
The department, including the Division of Health Care Financing within the department,shall:
(1) work with the Governor's Office of Economic Development, the InsuranceDepartment, the Department of Workforce Services, and the Legislature to develop health systemreform in accordance with the strategic plan described in Title 63M, Chapter 1, Part 25, HealthSystem Reform Act;
(2) develop and submit amendments and waivers for the state's Medicaid plan asnecessary to carry out the provisions of the Health System Reform Act;
(3) seek federal approval of an amendment to Utah's Premium Partnership for HealthInsurance that would allow the state's Medicaid program to subsidize the purchase of healthinsurance by an individual who does not have access to employer sponsored health insurance;
(4) in coordination with the Department of Workforce Services:
(a) establish a Children's Health Insurance Program eligibility policy, consistent withfederal requirements and Subsection 26-40-105(1)(d), that prohibits enrollment of a child in theprogram if the child's parent qualifies for assistance under Utah's Premium Partnership for HealthInsurance; and
(b) involve community partners, insurance agents and producers, community basedservice organizations, and the education community to increase enrollment of eligible employeesand individuals in Utah's Premium Partnership for Health Insurance and the Children's HealthInsurance Program; and
(5) as funding permits, and in coordination with the department's adoption of standardsfor the electronic exchange of clinical health data, help the private sector form an alliance ofemployers, hospitals and other health care providers, patients, and health insurers to develop anduse evidence-based health care quality measures for the purpose of improving health caredecision making by health care providers, consumers, and third party payers.
Enacted by Chapter 383, 2008 General Session