130th Ohio General Assembly
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H. B. No. 513  As Introduced
As Introduced

128th General Assembly
Regular Session
2009-2010
H. B. No. 513


Representative Sears 

Cosponsors: Representatives Adams, J., Adams, R., Balderson, Boose, Burke, Combs, Grossman, Huffman, Jordan, McGregor, Morgan, Stebelton, Wachtmann 



A BILL
To enact section 5111.141 of the Revised Code to require the Department of Job and Family Services to implement a disease management component of the Medicaid program.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That section 5111.141 of the Revised Code be enacted to read as follows:
Sec. 5111.141. (A) The department of job and family services shall implement a disease management component of the medicaid program. Medicaid recipients participating in the care management system established under section 5111.16 of the Revised Code shall be excluded from the disease management component.
(B) The disease management component shall consist of a system of coordinated health care interventions and patient communications for groups of medicaid recipients who have medical conditions for which the department determines patient self-care efforts are significant. The disease management component shall do all of the following:
(1) Support physicians, the professional relationship between patients and their medical caregivers, and patients' plans of care;
(2) Emphasize prevention of exacerbations and complications of medical conditions using evidence-based practice guidelines and patient empowerment strategies;
(3) Evaluate clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health.
(C) To the extent the department considers appropriate, contracts that the department enters into with other state agencies under section 5111.91 of the Revised Code shall provide for the other state agencies to include the disease management component in the component of the medicaid program that the other state agency administers pursuant to the contract.
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