Section 208.192

Title XII PUBLIC HEALTH AND WELFARE

Chapter 208

Effective - 28 Aug 2009, 2 histories, see footnote   (history) 

  208.192.  Certain Medicaid data to be made available on web site — sunset provision. — 1. By August 28, 2010, the director of the MO HealthNet division shall implement a program under which the director shall make available through its Internet website nonaggregated information on individuals collected under the federal Medicaid Statistical Information System described in the Social Security Act, Section 1903(r)(1)(F), insofar as such information has been de-identified in accordance with regulations promulgated under the Health Insurance Portability and Accountability Act of 1996, as amended. In implementing such program, the director shall ensure that:

  (1) The information made so available is in a format that is easily accessible, useable, and understandable to the public, including individuals interested in improving the quality of care provided to individuals eligible for programs and services under the MO HealthNet program, researchers, health care providers, and individuals interested in reducing the prevalence of waste and fraud under the program;

  (2) The information made so available is as current as deemed practical by the director and shall be updated at least once per calendar quarter;

  (3) To the extent feasible, all health care providers, as such term is defined in subdivision (20) of section 376.1350, included in such information are identifiable by name to individuals who access the information through such program; and

  (4) The director periodically solicits comments from a sampling of individuals who access the information through such program on how to best improve the utility of the program.

  2. For purposes of implementing the program under this section and ensuring the information made available through such program is periodically updated, the director may select and enter into a contract with a public or private entity meeting such criteria and qualifications as the director determines appropriate.

  3. By August 28, 2011, and annually thereafter, the director shall submit to the general assembly and the MO HealthNet oversight committee, a report on the progress of the program under subsection 1 of this section, including the extent to which information made available through the program is accessed and the extent to which comments received under subdivision (4) of subsection 1 of this section were used during the year involved to improve the utility of the program.

  4. By August 28, 2011, the director shall submit to the general assembly and the MO HealthNet oversight committee a report on the feasibility, potential costs, and potential benefits of making publicly available through an Internet-based program de-identified payment and patient encounter information for items and services furnished under Title XXI of the Social Security Act which would not otherwise be included in the information collected under the federal Medicaid Statistical Information System described in Section 1903(r)(1)(F) of such act and made available under Section 1942 of such act, as added by Section 5008.

  5. Pursuant to section 23.253 of the Missouri sunset act:

  (1) The provisions of the new program authorized under this section shall automatically sunset six years after August 28, 2009, unless reauthorized by an act of the general assembly; and

  (2) If such program is reauthorized, the program authorized under this section shall automatically sunset twelve years after the effective date of the reauthorization of this section; and

  (3) This section shall terminate on September first of the calendar year immediately following the calendar year in which the program authorized under this section is sunset.

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(L. 2009 H.B. 577)

Sunset date 8-28-15, unless reauthorized

Termination date, 9-01-16, unless reauthorized