General assembly of north carolina



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SECTION 10.9B.(a) The Program Evaluation Division and the Fiscal Research Division of the General Assembly shall jointly study the feasibility of creating a separate Department of Medicaid and make a joint recommendation on this issue to the 2013 Regular Session of the General Assembly no later than February 15, 2013.

SECTION 10.9B.(b) The joint study directed by subsection (a) of this section shall include all of the following:

(1) A review of how other states administer Medicaid programs, including the following aspects:

a. State Plan development and policy management.

b. Payment of claims.

c. Budget forecasting.

d. Rate setting.

e. Appeals.

f. Involvement in management of care.

(2) An analysis of benefits and disadvantages of Medicaid becoming a stand alone State department, including the following considerations:

a. Overhead costs to be saved or increased as a result of any proposed changes.

b. Identification of any efficiencies to be gained from such reorganization.

c. Identification of any costs that would be incurred as a result of this reorganization.

d. Whether it is feasible to also move any other divisions or programs within the Department of Health and Human Services (DHHS) into a new Department of Medicaid.

(3) Whether moving Medicaid into its own department would have any adverse impact on funding streams to and administration of other agencies within DHHS.



(4) Identification of various Medicaid organizational structures and their costs and savings.
REMOVE AUTHORITY FOR MEDICAID PROVIDER RATE AND SERVICE REDUCTION


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