This bill mandates that the Division of Medical Assistance and Health Services in the Department of Human Services provide Medicaid fee-for-service (FFS) coverage for managed long-term services and supports when a beneficiary is awaiting enrollment in a managed care organization (MCO). Specifically, it ensures that eligible services from assisted living residences, comprehensive personal care homes, assisted living programs, or adult family care providers are covered for individuals who have been determined eligible for the Medicaid Managed Long Term Services and Supports program but are still pending enrollment in an MCO. The FFS coverage will commence on the date the individual is deemed clinically and financially eligible and will conclude once their enrollment in the MCO is effective.
Additionally, the bill instructs the Commissioner of Human Services to seek any necessary State plan amendments or waivers to implement its provisions and to secure federal financial participation for State Medicaid expenditures. The bill aims to codify existing Medicaid policy and will take effect immediately upon enactment.