(a) The Commissioner of Social Services, in consultation with the Commissioner of Public Health, shall develop and within available appropriations implement a plan for a system of preventive health services for children under HUSKY A and B. The goal of the system shall be to improve health outcomes for all children enrolled in the HUSKY Health program and to reduce racial and ethnic health disparities among children. Such system shall ensure that services under the federal Early and Periodic Screening, Diagnostic and Treatment Program are provided to children enrolled in HUSKY A.

(b) The plan shall:

(1) Establish a coordinated system for preventive health services for HUSKY A and B beneficiaries including, but not limited to, services under the federal Early and Periodic Screening, Diagnostic and Treatment Program, ophthalmologic and optometric services, oral health care, care coordination, chronic disease management and periodicity schedules based on standards specified by the American Academy of Pediatrics;

(2) Require the Department of Social Services to track the utilization of services in the system of preventive health services by HUSKY A and B beneficiaries to ensure that such beneficiaries receive all the services available under the system and to track the health outcomes of children; and

(3) Include payment methodologies to create financial incentives and rewards for health care providers who participate and provide services in the system, such as case management fees, pay for performance, and payment for technical support and data entry associated with patient registries.

(P.A. 07-185, S. 13; June Sp. Sess. P.A. 07-2, S. 10; P.A. 15-69, S. 31.)

History: P.A. 07-185 effective July 1, 2007; June Sp. Sess. P.A. 07-2 amended Subsec. (a) by specifying that implementation of plan shall be “within available appropriations”, amended Subsec. (b)(1) by replacing “vision care” with “ophthalmologic and optometric services”, amended Subsec. (b)(2) by deleting “electronically” re tracking utilization of services, and amended Subsec. (d) by deleting commissioner's responsibility to report on “the implementation of” plan, effective July 1, 2007; P.A. 15-69 amended Subsecs. (a) and (b) to change “HUSKY Plan, Part A and Part B” to “HUSKY A and B”, “HUSKY Plan, Part A” to “HUSKY A”, “HUSKY Plan” to “HUSKY Health program” and “Diagnosis” to “Diagnostic”, and deleted former Subsecs. (c) and (d) re preventive health services plan and report, effective June 19, 2015.