1

The Committee on Children, Families, and Elder Affairs (Rich)

2

recommended the following amendment:

3

4

     Senate Amendment

5

     On line(s) 141, after the period,

6

insert:

7

     The agency is not required to complete an assessment to

8

determine the eligibility of beneficiaries for enrollment in a

9

specialty provider service network. For current beneficiaries

10

with a claims history, a determination shall be based on current

11

Medicaid data. Nonchoosing, new beneficiaries without a claims

12

history are not eligible for assignment to a specialty provider

13

service network. However, during the open enrollment period when

14

beneficiaries can change their plan, a beneficiary's request to

15

be assigned to a specialty provider service network is sufficient

16

for the agency to determine that the beneficiary qualifies for

17

the specialty provider service network.

3/31/2008  3:23:00 PM     34-06213-08