After conducting a preliminary review of a clinical initiative under § 543.0053(2), the commission shall analyze the clinical initiative if the commission selects the initiative for analysis. The analysis must include a review of:
(1) any public comments and submitted research relating to the initiative;
(2) the available clinical research and historical utilization information relating to the initiative;
(3) published medical literature relating to the initiative;
(4) any adoption of the initiative by a medical society or other clinical group;
(5) whether the initiative has been implemented under:
(A) the Medicare program;
(B) another state medical assistance program; or
(C) a state-operated health care program, including the child health plan program;
(6) the results of reports, research, pilot programs, or clinical studies relating to the initiative conducted by:
(A) institutions of higher education, including related medical schools;
(B) governmental entities and agencies; and
(C) private and nonprofit think tanks and research groups;
(7) the impact the initiative would have on Medicaid if the initiative were implemented in this state, including:
(A) an estimate of the number of Medicaid recipients that would be impacted by implementing the initiative; and
(B) a description of any potential cost savings to the state that would result from implementing the initiative; and
(8) any statutory barriers to implementing the initiative.

Text of section effective on April 01, 2025