hours has elapsed from a request for assistance, the
responsible entity shall notify the department of the failure
to find the necessary placement.
(c) Department responsibilities.--The department shall,
after being notified of the failure to find medically
appropriate placement under subsection (b)(6):
(1) Establish an internal team to work with the
responsible entity to determine next steps to address
barriers to a postacute placement in a timely matter.
(2) If a barrier is clinically based, convene
conversations with clinical leaders of the responsible entity
to understand and resolve these barriers.
(3) If a barrier to admission requires other State
agencies to resolve the issue, convene a conference call with
the appropriate State agency representatives, providers,
responsible entities and other payors as well as others
needed to resolve the issues.
(4) If a barrier concerns payment, facilitate a
discussion with the responsible entity, the Insurance
Department and the department, as appropriate. The department
and the Insurance Department shall address network adequacy
and payment issues with the responsible entity.
(5) Collect data about the interventions under this
subsection and review the data as part of relevant licensing
surveys.
(6) Require corrective action plans from responsible
entities, as appropriate.
Section 6. Report.
No later than one year after the effective date of this
section, and on an annual basis thereafter, the department shall
20210HB1644PN1846 - 4 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30