The proposed bill would update current statutes related to the developmental disabilities Medicaid program by introducing new funding appropriations and requirements. Specifically, it would appropriate $122,300,300 from the Prescription Drug Rebate Fund and $403,000,000 in Medicaid Expenditure Authority for FY 2025 to the Department of Economic Security (DES). It mandates the implementation of an electronic visit verification system and unique billing modifiers to differentiate between services provided by parents and nonparents, while also prohibiting parents from billing for services when the child is not present or for tasks typically performed by a parent of a child without disabilities. Additionally, the bill requires quarterly reporting to the Joint Legislative Budget Committee on the use of attendant care services by parent caregivers and mandates the adoption of a standardized assessment tool for determining care needs by October 1, 2025. Moreover, the bill introduces new legislative oversight by prohibiting AHCCCS from submitting new waiver proposals without legislative authorization if they expand eligibility or services. It also establishes new eligibility criteria for parents providing care, including residency requirements and restrictions on service hours, while limiting employment to a single agency. The bill emphasizes accountability through provisions for a special audit of the Parent Caregiver Program (PPCG) and increases funding for the Developmental Disabilities Medicaid Program, aiming to enhance oversight and ensure appropriate billing and utilization of services.

Statutes affected:
Introduced Version: 36-2901.06, 41-723, 36-3312
House Engrossed Version: 41-723, 36-2970.01, 36-2970.02, 36-3311, 36-3312
Chaptered Version: 41-723, 36-2970.01, 36-2970.02, 36-3311, 36-3312