This bill mandates the Division of Medical Assistance and Health Services within the Department of Human Services to conduct a comprehensive review of the Medicaid Managed Long-Term Services and Supports (MLTSS) Program. The review will assess existing quality oversight measures, identify barriers to transitioning Medicaid members from nursing homes to community settings, and analyze successful payment models from other states. Based on the findings, the division is required to implement improvements to the MLTSS Program, which include reducing care management caseloads for nursing home residents, increasing face-to-face visits, and establishing a structured process for complex transitions to community care.
Additionally, the bill requires the establishment of a public-facing report card for each managed care organization (MCO) involved in the MLTSS Program. This report card will be accessible on the department's website and will provide essential performance and quality rating information, allowing the public to compare MCOs effectively. The report card will include data on member enrollment, disenrollment, performance metrics, member feedback, and any other relevant information as determined by the Commissioner of Human Services. The report cards will be updated annually to ensure the information remains current and useful for decision-making by Medicaid members.