HB 1592

Bill Subjects

Agencies; Family And Social Services Administration (Fssa) Health; Developmental Disabilities Health; Medicaid Health; Physical Disabilities Senior Citizens

Abstract

Allows the office of the secretary of family and social services (office) to reimburse a Medicaid provider for providing functional assessments if the provider completed training approved by the office. Prohibits the office from restricting access to certain assisted living services by establishing a Medicaid waiver wait list or any other method if there are available waiver slots. Requires the office to apply for additional waiver slots when the slots are all filled in a manner that is sufficient to complete the state fiscal year without implementing a wait list. Requires the office to reimburse for home and community based services from the date of the individual's application. Requires the office to apply to the federal government for: (1) an amendment to the aged and disabled Medicaid waiver concerning functional eligibility determinations and reimbursement within a specified time; and (2) a new Medicaid waiver to provide assisted living services. Repeals language concerning reporting of the development of a long term care risk based managed care program (program). Requires the office to include certain provisions in a contract for the program. Specifies requirements of an entity contracting with the office to participate in the program. Requires the office to develop and implement clinical and quality of life measures and allow provider owned entities to participate in the program. Allows the office to audit claims or data concerning the program and post the audit findings on the office's website. Allows the office to take administrative action against a contracted entity for violations. Sets forth claim submission and processing requirements for the program. Repeals the temporary emergency financial assistance program.