House Bill (S)

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Co-Authored by

DIGEST

Long term care matters. Requires a home and community based services program for individuals who are aged or disabled to include reimbursement for assisted living services in the Medicaid program. Requires the division of aging to report to the general assembly a plan to expand the scope and availability of home and community based services for individuals who are aged or disabled and requires the division to implement the plan. Prohibits the office of Medicaid policy and planning (office) from including certain individuals who receive nursing facility services in a Medicaid risk based managed care program or a capitated managed Long term care matters. Requires a home and community based services program for individuals who are aged or disabled to include reimbursement for assisted living services in the Medicaid program. Requires the division of aging to report to the general assembly a plan to expand the scope and availability of home and community based services for individuals who are aged or disabled and requires the division to implement the plan. Prohibits the office of Medicaid policy and planning (office) from including certain individuals who receive nursing facility services in a Medicaid risk based managed care program or a capitated managed care program if the inclusion in the program would result in a reduction in certain nursing facility payments. Requires the office to determine the amount of reimbursement payments that would have been reimbursed but for a statewide reduction in nursing facility reimbursement and use those dollars for the expansion of home and community based services. Establishes the home and community based expansion fund. Specifies circumstances in which a Medicaid reimbursement reduction must be suspended. Specifies the model to be used for Medicaid nursing facility service payments. Requires the office to do the following: (1) Provide public notice of at least one year before reducing nursing facility service reimbursements. (2) Review currently offered home health programs, develop additional programs, and report on the programs to the general assembly. Requires the state department of health to amend rules concerning residential care facilities to comply with federal law concerning the provision of home and community based services. Makes an appropriation. ... View more