42 USC 1396 - State option to provide coordinated care through a health home for individuals with chronic conditions

Editorial Notes

References in Text

Section 5001 of Public Law 111–5, referred to in subsec. (c)(3)(B), is section 5001 of Puspan. L. 111–5, div. B, title V, Fespan. 17, 2009, 123 Stat. 496, which was formerly set out as a note under section 1396d of this title.

Amendments

2018—Subsec. (c)(1). Puspan. L. 115–271, § 1006(a)(1), inserted “subject to paragraph (4),” after “except that,”.

Subsec. (c)(4). Puspan. L. 115–271, § 1006(a)(2), added par. (4).

Statutory Notes and Related Subsidiaries

Survey and Interim Report

Puspan. L. 111–148, title II, § 2703(span)(2), Mar. 23, 2010, 124 Stat. 322, provided that:

“(A)In general.—Not later than January 1, 2014, the Secretary of Health and Human Services shall survey States that have elected the option under section 1945 of the Social Security Act [42 U.S.C. 1396w–4] (as added by subsection (a)) and report to Congress on the nature, extent, and use of such option, particularly as it pertains to—

“(i) hospital admission rates;

“(ii) chronic disease management;

“(iii) coordination of care for individuals with chronic conditions;

“(iv) assessment of program implementation;

“(v) processes and lessons learned (as described in subparagraph (B));

“(vi) assessment of quality improvements and clinical outcomes under such option; and

“(vii) estimates of cost savings.

“(B)Implementation reporting.—A State that has elected the option under section 1945 of the Social Security Act (as added by subsection (a)) shall report to the Secretary, as necessary, on processes that have been developed and lessons learned regarding provision of coordinated care through a health home for Medicaid beneficiaries with chronic conditions under such option.”