The bill amends section 109 of the Social Welfare Act to clarify and expand the medical services available to eligible individuals under the state's medical assistance program. Key insertions include the specification that eligible individuals may receive various medical services such as hospital care, physician services, nursing home services, pharmaceutical services, and other medical and health services as authorized by the department. Additionally, the bill introduces provisions for perinatal and gynecological services, contingent upon the department applying for and receiving federal approval to include these services in the state's Medicaid plan.

The bill also outlines the reimbursement process for county-owned facilities providing nursing home services, detailing how maintenance of effort rates will be calculated based on variable costs and limits. It emphasizes the need for documentation of claims filed under Title XVIII before final payments under Title XIX can be made. Furthermore, the director is required to notify the public and obtain legislative approval for any proposed changes in reimbursement methods that would significantly affect payment levels. Overall, the amendments aim to enhance the scope of medical services available to eligible individuals while ensuring compliance with federal regulations and maintaining fiscal accountability.

Statutes affected:
Senate Introduced Bill: 400.109