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House File 74 - IntroducedA Bill ForAn Act 1relating to the maximum annual services caps for
2specified services under certain Medicaid home and
3community-based services waivers.
4BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. MEDICAID INTELLECTUAL DISABILITY HOME
2AND COMMUNITY-BASED SERVICES WAIVER — HOME AND VEHICLE
3MODIFICATIONS — ANNUAL SERVICES CAP. The department of health
4and human services shall eliminate the lifetime maximum cap and
5instead establish and maintain a home and vehicle modifications
6services annual maximum cap per waiver member year for the
7Medicaid intellectual disability home and community-based
8services waiver to reflect the same amount as that for the
9home and vehicle modifications services annual maximum cap
10per waiver member year for the Medicaid brain injury home
11and community-based services waiver. The department shall
12continue to require that any home and vehicle modifications are
13medically necessary and are subject to prior authorization by
14the department.
15EXPLANATION
16The inclusion of this explanation does not constitute agreement with
17the explanation’s substance by the members of the general assembly.
18This bill requires the department of health and human
19services (HHS) to eliminate the lifetime maximum cap and
20instead establish and maintain a home and vehicle modifications
21services annual maximum cap per waiver member year for the
22Medicaid intellectual disability home and community-based
23services (HCBS) waiver to reflect the same amount as that for
24the home and vehicle modifications services annual maximum cap
25for the Medicaid brain injury HCBS waiver. The department
26shall continue to require that any such modifications are
27medically necessary and are subject to prior authorization by
28HHS.
29For fiscal year 2022-2023, the home and vehicle
30modifications lifetime maximum cap for the intellectual
31disability HCBS waiver is $5,727.37 and the annual maximum cap
32for the brain injury HCBS waiver is $6,872.85.
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2specified services under certain Medicaid home and
3community-based services waivers.
4BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. MEDICAID INTELLECTUAL DISABILITY HOME
2AND COMMUNITY-BASED SERVICES WAIVER — HOME AND VEHICLE
3MODIFICATIONS — ANNUAL SERVICES CAP. The department of health
4and human services shall eliminate the lifetime maximum cap and
5instead establish and maintain a home and vehicle modifications
6services annual maximum cap per waiver member year for the
7Medicaid intellectual disability home and community-based
8services waiver to reflect the same amount as that for the
9home and vehicle modifications services annual maximum cap
10per waiver member year for the Medicaid brain injury home
11and community-based services waiver. The department shall
12continue to require that any home and vehicle modifications are
13medically necessary and are subject to prior authorization by
14the department.
15EXPLANATION
16The inclusion of this explanation does not constitute agreement with
17the explanation’s substance by the members of the general assembly.
18This bill requires the department of health and human
19services (HHS) to eliminate the lifetime maximum cap and
20instead establish and maintain a home and vehicle modifications
21services annual maximum cap per waiver member year for the
22Medicaid intellectual disability home and community-based
23services (HCBS) waiver to reflect the same amount as that for
24the home and vehicle modifications services annual maximum cap
25for the Medicaid brain injury HCBS waiver. The department
26shall continue to require that any such modifications are
27medically necessary and are subject to prior authorization by
28HHS.
29For fiscal year 2022-2023, the home and vehicle
30modifications lifetime maximum cap for the intellectual
31disability HCBS waiver is $5,727.37 and the annual maximum cap
32for the brain injury HCBS waiver is $6,872.85.
-1-pf/rh