House File 2148 - Introduced HOUSE FILE BY UPMEYER Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to requirements for consumer=directed attendant 2 care provided under a medical assistance home and community= 3 based services waiver. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5721YH 81 6 pf/gg/14 PAG LIN 1 1 Section 1. Section 249A.32, Code 2005, is amended to read 1 2 as follows: 1 3 249A.32 MEDICAL ASSISTANCE HOME AND COMMUNITY=BASED 1 4 SERVICES WAIVERS == CONSUMER=DIRECTED ATTENDANT CARE == 1 5 PROVIDER VERIFICATION == TERMINATION OF CONTRACT. 1 6 1. a. A person who applies to the department for approval 1 7 as a consumer=directed attendant care provider shall provide 1 8 proof of any training, certification, licensing, or 1 9 supervision required for the type of service that the 1 10 applicant would provide under a contract with a consumer. 1 11 Prior to approval and issuance of a provider number to a 1 12 consumer=directed attendant care provider applicant, the 1 13 department shall verify the proof provided. 1 14 b. At the time of entering into a contract for the 1 15 provision of consumer=directed attendant care, the consumer, 1 16 with the assistance of the case manager, shall verify that the 1 17 consumer=directed attendant care provider has the requisite 1 18 training, certification, licensing, or supervision necessary 1 19 to provide the care specified in the contract. 1 20 2. The case manager shall periodically review with the 1 21 consumer the narrative record of the care provided by the 1 22 consumer=directed attendant care provider to determine 1 23 compliance with the contract. 1 241.3. A case managerfor a medical assistance home and 1 25 community=based services waivermay terminate the contract of 1 26 a person providing consumer=directed attendant care services 1 27 to whom payment is being made for provision of such services 1 28 under the waiver if the case manager determines that the 1 29 person has breached the contract by not providing the services 1 30 agreed to under the contract. 1 312.4. For the purposes of this section, "consumer" and 1 32 "waiver" mean consumer and waiver as defined in section 1 33 249A.29 and "narrative record" means the provider's record of 1 34 services provided to the consumer as specified in the contract 1 35 between the consumer and provider, and for which the provider 2 1 bills the department for payment under a waiver. 2 2 EXPLANATION 2 3 This bill provides requirements for the provision of 2 4 consumer=directed attendant care under a medical assistance 2 5 home and community=based services waiver. The bill requires a 2 6 consumer=directed attendant care provider applicant to provide 2 7 proof of any training, certification, licensing, or 2 8 supervision required for the type of service that the 2 9 applicant would provide under a contract with a consumer. 2 10 Additionally, the bill requires the department of human 2 11 services, prior to approval of and issuance of a provider 2 12 number to a consumer=directed attendant care provider 2 13 applicant, to verify the proof provided. The bill provides 2 14 that at the time of entering into a contract for the provision 2 15 of consumer=directed attendant care, the consumer, with the 2 16 assistance of the case manager, is to verify that the 2 17 consumer=directed attendant care provider has the requisite 2 18 training, certification, licensing, or supervision necessary 2 19 to provide the care specified in the contract. 2 20 The bill requires the case manager to periodically review 2 21 with the consumer the narrative record of the care provided by 2 22 the consumer=directed attendant care provider to determine 2 23 compliance with the contract. 2 24 The bill defines "narrative record" as the provider's 2 25 record of services provided as specified in the contract 2 26 between the consumer and provider and for which the provider 2 27 bills the department for payment under a waiver. 2 28 LSB 5721YH 81 2 29 pf:nh/gg/14