February 2024 Overview of Federal and State Updates by Oregon Department of Education
This overview covers updates from the Oregon Department of Education regarding federal and state updates related to School Based Health Services, Medicaid in Schools, and more. Presentations and resources will be available to participants on the ODE Medicaid in Education website.
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Presentation Transcript
Workgroup to Discuss Hospital Refund Process Required by Ch. 683, 2022 August 15, 2022
Overview Topic Time Welcome, Introduction 2:00-2:10 Workgroup Charge 2:10-2:20 Ground Rules and Workplan 2:20-2:30 Discussion 2:30-3:40 Public Comment 3:40-3:50 Next Steps 3:50-4:00 2
Workgroup Charge Chapter 683 (2022) requires HSCRC, in coordination with the Department of Human Services (DHS), the State-designated exchange (CRISP), the Office of the Comptroller, and the Maryland Hospital Association (MHA), to develop a process that: 1. Identifies patients who paid for hospitals services who may have qualified for free care under Health General 19 214.1 at the time of care during calendar years 2017 through 2021; 2. Provides reimbursement to the identified patients, which may be applied incrementally; 3. Ensures that a patient s alternate address is used if the patient requested an alternate address for safety reasons; and 4. Determines how HSCRC, DHS, and the Office of the Comptroller should share and disclose relevant information, including tax information, to the minimum extent necessary, to the hospital and in accordance with federal and state confidentiality laws for the purpose of carrying out the required process. Under the statute, HSCRC is allowed to alter the process that is developed under Chapter 683 as necessary. 3
Workgroup Ground Rules Be prepared: please read materials before the meeting Be brief. Share the floor: please monitor your contributions to make sure others have an opportunity to engage in the discussion. No interruptions (except for the time-keeper). Stay on topic. Questions are welcome. Respect deadlines for written comments. 4
Key Dates (1 of 2) (Subject to Change) April - May 2022: HSCRC met with DHS and the Comptroller s Office, & Robyn Elliott (representing domestic violence advocates) to iterate on a possible refund process. HSCRC provided a discussion document to MHA. June - July 2022: MHA reviewed the revised process with hospitals & provided feedback to HSCRC. August - October 2022: Workgroup to discuss the potential process & AAG input. 5
Workplan and Key Dates (2 of 2) (Subject to Change) October 2022- December 2022: HSCRC drafts report required by Ch. 683 (2022). Deadline 1/1/23. HSCRC drafts legislation, if required, as an appendix to the report. January 2023 April 2023 Legislature considers legislation If an acceptable process is identified, HSCRC clarifies the process with hospitals for implementation. Summer 2023: Hospitals implement process. October 2023- December 2023: HSCRC drafts report required by Ch. 683 (2022). Deadline 1/1/24. June 30, 2025: Ch. 683 (2022) is abrogated. 6
Process Discussion Process 1 Process 2 Process 3 Requirements of CH 683 Identifies patients who paid & may have qualified for free care (2017 through 2021) Provides reimbursement to the identified patients, which may be applied incrementally; Patient s alternate/safe address is used Determines how HSCRC, DHS, and the Office of the Comptroller should share and disclose relevant information, to the minimum extent necessary, to the hospital and in accordance with federal and state confidentiality laws for the purpose of carrying out the required process. Is the process legally feasible now? What legal issues can be solved with a state statute? What legal issues would remain after a new state law? Is this optional operationally feasible? Why or why not? Are there other benefits or concerns about this process that should be considered? 8
Next Steps 1. Submit Written Comments Workgroup Discussion Questions for August 15, 2022 (Page 2 of discussion document) & Workgroup Items for Written Comment after August 15, 2022 (Page 3) Responses are due by Wednesday, August 31st. 1. Review questions for future discussions for meeting on September 19th, as well as any additional materials provided to HSCRC before the meeting. 1. Respond to scheduling requests for an October meeting. 10
Thank you! 11
