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The commission shall establish and implement an evaluation process for the submission, preliminary review, analysis, and approval of a clinical initiative. The process must:
(1) require that a suggestion for a clinical initiative be submitted to the state Medicaid director;
(2) allow the commission to conduct, with the assistance of an appropriate advisory committee or similar group as determined by the commission, a preliminary review of each suggested clinical initiative to determine whether the initiative warrants further consideration and analysis under § 543.0054;
(3) require the commission to publish on the Internet website maintained in accordance with § 543.0003 the criteria the commission uses in the preliminary review under Subdivision (2) to determine whether an initiative warrants analysis under § 543.0054;
(4) limit the number of suggestions analyzed under § 543.0054;
(5) require that a suggestion for a clinical initiative selected for analysis under § 543.0054 be published on the Internet website maintained in accordance with § 543.0003 not later than the 30th day after the date the state Medicaid director receives the suggestion;
(6) provide for a formal public comment period that lasts at least 30 days during which the public may submit comments and research relating to a suggested clinical initiative;
(7) require commission employees to analyze, in accordance with § 543.0054, each suggested clinical initiative selected for analysis; and
(8) require the development and publication of a final report in accordance with § 543.0055 on each clinical initiative selected for analysis under § 543.0054 not later than the 180th day after the date the state Medicaid director receives the suggestion.


Text of section effective on April 01, 2025