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To enact section 5111.141 of the Revised Code to | 1 |
require the Department of Job and Family Services | 2 |
to implement a disease management component of the | 3 |
Medicaid program. | 4 |
Section 1. That section 5111.141 of the Revised Code be | 5 |
enacted to read as follows: | 6 |
Sec. 5111.141. (A) The department of job and family services | 7 |
shall implement a disease management component of the medicaid | 8 |
program. Medicaid recipients participating in the care management | 9 |
system established under section 5111.16 of the Revised Code shall | 10 |
be excluded from the disease management component. | 11 |
(B) The disease management component shall consist of a | 12 |
system of coordinated health care interventions and patient | 13 |
communications for groups of medicaid recipients who have medical | 14 |
conditions for which the department determines patient self-care | 15 |
efforts are significant. The disease management component shall do | 16 |
all of the following: | 17 |
(1) Support physicians, the professional relationship between | 18 |
patients and their medical caregivers, and patients' plans of | 19 |
care; | 20 |
(2) Emphasize prevention of exacerbations and complications | 21 |
of medical conditions using evidence-based practice guidelines and | 22 |
patient empowerment strategies; | 23 |
(3) Evaluate clinical, humanistic, and economic outcomes on | 24 |
an ongoing basis with the goal of improving overall health. | 25 |
(C) To the extent the department considers appropriate, | 26 |
contracts that the department enters into with other state | 27 |
agencies under section 5111.91 of the Revised Code shall provide | 28 |
for the other state agencies to include the disease management | 29 |
component in the component of the medicaid program that the other | 30 |
state agency administers pursuant to the contract. | 31 |