Text: H01287                            Text: H01289
Text: H01200 - H01299                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

House Amendment 1288

Amendment Text

PAG LIN
  1  1    Amend House File 382 as follows:
  1  2    #1.  Page 1, by inserting before line 1 the
  1  3 following:
  1  4    "Section 1.  Section 249A.3, Code 2001, is amended
  1  5 by adding the following new subsection:
  1  6    NEW SUBSECTION.  4A.  The department shall
  1  7 establish presumptive eligibility under the medical
  1  8 assistance program for a child who is under nineteen
  1  9 years of age.  A determination of presumptive
  1 10 eligibility shall be made only once in a twelve-month
  1 11 period."
  1 12    #2.  Page 2, by inserting after line 19 the
  1 13 following:
  1 14    "Sec.    .  Section 514I.5, subsection 8, paragraph
  1 15 e, Code 2001, is amended by adding the following new
  1 16 subparagraph:
  1 17    NEW SUBPARAGRAPH.  (15)  (a)  Care coordination.
  1 18 For the purposes of this subparagraph subdivision,
  1 19 "care coordination" means coordinating the provision
  1 20 of services to children and families to assure that
  1 21 the children receive health care services by promoting
  1 22 the coordination of social supports and medical
  1 23 services across organizations and providers.  Care
  1 24 coordination may include but is not limited to
  1 25 educating families about the services provided under
  1 26 the family's health insurance coverage plan; assisting
  1 27 families in selecting providers; assisting families
  1 28 with scheduling of health care appointments,
  1 29 transportation to attend health care appointments, and
  1 30 translation during health care appointments; and
  1 31 assisting families in accessing community support
  1 32 services.
  1 33    (b)  Dental services including the coverage of
  1 34 partial dentures and dentures, with an annual coverage
  1 35 maximum of one thousand five hundred dollars.
  1 36    (c)  Mental health and substance abuse benefits
  1 37 including coverage of Axis I diagnoses as specified in
  1 38 the diagnostic and statistical manual of mental
  1 39 disorders; coverage of the full continuum of treatment
  1 40 services; provision of adequate provider panels; use
  1 41 of admission, discharge, continued stay, and placement
  1 42 criteria specific to children and adolescents; and the
  1 43 use of Iowa juvenile placement criteria for substance
  1 44 abuse services.
  1 45    (d)  Medically necessary nutrition services
  1 46 provided by a licensed dietician based upon a
  1 47 physician referral.
  1 48    (e)  Physical and occupational therapy services."
  1 49    #3.  Page 3, by inserting after line 35 the
  1 50 following:
  2  1    "Sec.    .  Section 514I.8, subsection 2, paragraph
  2  2 c, Code 2001, is amended to read as follows:
  2  3    c.  Is a member of a family whose income does not
  2  4 exceed two hundred percent of the federal poverty
  2  5 level, as defined in 42 U.S.C. } 9902(2), including
  2  6 any revision required by such section.  Determination
  2  7 of an applicant's income shall be made on the basis of
  2  8 the applicant's self-declaration of income."
  2  9    #4.  Page 4, by inserting after line 7 the
  2 10 following:
  2 11    "Sec.    .  Section 514I.8, subsection 3, Code
  2 12 2001, is amended to read as follows:
  2 13    3.  In accordance with the rules adopted by the
  2 14 board, a child may shall be determined to be
  2 15 presumptively eligible for the program pending a final
  2 16 eligibility determination.  Following final
  2 17 determination of eligibility by the administrative
  2 18 contractor, a child shall be eligible for a twelve-
  2 19 month period.  At the end of the twelve-month period,
  2 20 the administrative contractor shall conduct a review
  2 21 of the circumstances of the eligible child's family to
  2 22 establish eligibility and cost sharing for the
  2 23 subsequent twelve-month period."
  2 24    #5.  By renumbering as necessary.  
  2 25 
  2 26 
  2 27                               
  2 28 OSTERHAUS of Jackson
  2 29 HF 382.201 79
  2 30 pf/gg
     

Text: H01287                            Text: H01289
Text: H01200 - H01299                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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