Concerning the transition of medicaid enrollees to skilled nursing facility care (Cody, Schmick, Tharinger)

Requires the state health care authority to:
(1) Actively monitor and enforce contractors' responsibility to coordinate the timely and appropriate transition of enrollees to skilled nursing facility care when it is determined to be more appropriate than acute hospital care; and
(2) Conduct a survey of skilled nursing facilities to identify barriers in the facilities accepting and admitting enrollees from acute care hospitals in a timely and appropriate manner.

The substitute bill removes the provisions relating to establishing incentives to assure timely and appropriate transfers from hospitals to skilled nursing facilities, considering a managed care organization's ability to provide timely and appropriate transitions to skilled nursing facilities when the Health Care Authority (Authority) is awarding contracts, and directing the Authority to conduct a survey of skilled nursing facilities regarding barriers to timely and appropriate transfers and issuing a report.
The substitute bill directs the Authority and the Department of Social and Health Services to convene a work group of representatives of skilled nursing facilities, hospitals, and managed health care systems to identify barriers to the timely and appropriate transfer of Medicaid enrollees from acute care hospitals to skilled nursing facilities. The Authority must report the work group's findings to the Governor and the health care committees of the Legislature by
December 1, 2017.

Hearing Date: Wednesday, February 15, 2017 -- 1:30 pm

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