Senate committee substitute to the 3rd edition adds the following.
Part VII.
Requires the Department of Health and Human Services, Division of Health Benefits (DHB) to consult with stakeholders and submit to the Centers for Medicare and Medicaid Services (CMS), a request that meets the following: (1) provides Medicaid coverage of personal care services to individuals who reside in licensed adult care homes and special care units and whose income exceeds the limits for participation in the State-County Special Assistance Program but does not exceed either 180% of the federal poverty level, for individual who, but for their income, would qualify for State-County Special Assistance at the basic rate or (2) 200% of the federal poverty level for individuals who, but for their income, would qualify for State-County Special Assistance at the enhanced rate; (2) ensures that the cost of any new Medicaid coverage being requested is offset by savings or cost avoidance; and (3) ensures compliance with applicable legal requirements.
Requires DHB to take actions necessary to implement this section and submit the appropriate request to CMS within 90 days of this section becoming law. Allows DHB to implement the described Medicaid coverage if the rule is approved by CMS and it meets all of the goals listed above.
Statutes affected: Edition 3: 108D-40, 108A-146.5, 108A-148.1, 108A-145.3, 108A-146.1, 108A-146.3, 108A-146.10, 108A-146.13, 108A-147.1, 108A-147.2, 108A-147.3, 108A-147.5, 108A-147.6, 108A-147.11
Edition 4: 108D-40, 108A-146.5, 108A-148.1, 108A-145.3, 108A-146.1, 108A-146.3, 108A-146.10, 108A-146.13, 108A-147.1, 108A-147.2, 108A-147.3, 108A-147.5, 108A-147.6, 108A-147.11