Text: HSB00624                          Text: HSB00626
Text: HSB00600 - HSB00699               Text: HSB Index
Bills and Amendments: General Index     Bill History: General Index

House Study Bill 625

Bill Text

PAG LIN
  1  1    Section 1.  Section 633.707, subsections 10 and 11, Code
  1  2 2003, are amended by striking the subsections.
  1  3    Sec. 2.  Section 633.709, subsection 3, Code 2003, is
  1  4 amended to read as follows:
  1  5    3.  Subsections 1 and 2 shall apply to the following
  1  6 beneficiaries; however, the following amounts indicated shall
  1  7 be applied in lieu of the statewide average charge for nursing
  1  8 facility services:
  1  9    a.  For a beneficiary who meets the medical assistance
  1 10 level of care requirements for services in an intermediate
  1 11 care facility for persons with mental retardation and who
  1 12 either resides in an intermediate care facility for persons
  1 13 with mental retardation or is eligible for medical assistance
  1 14 home and community-based waiver services except that the
  1 15 beneficiary's income exceeds the allowable maximum, the
  1 16 applicable rate is the maximum monthly medical assistance
  1 17 payment rate for services in an intermediate care facility for
  1 18 persons with mental retardation.
  1 19    b.  For a beneficiary who meets the medical assistance
  1 20 level of care requirements for hospital-based, medicare-
  1 21 certified, skilled nursing facility care and who either
  1 22 resides in a hospital-based, medicare-certified, skilled
  1 23 nursing facility or is eligible for medical assistance home
  1 24 and community-based waiver services except that the
  1 25 beneficiary's income exceeds the allowable maximum, the
  1 26 applicable rate is the statewide average charge to private-pay
  1 27 patients for hospital-based, medicare-certified, skilled
  1 28 nursing facility care.
  1 29    c.  For a beneficiary who meets the medical assistance
  1 30 level of care requirements for nonhospital-based, medicare-
  1 31 certified, skilled nursing facility care and who either
  1 32 resides in a nonhospital-based, medicare-certified, skilled
  1 33 nursing facility or is eligible for medical assistance home
  1 34 and community-based waiver services except that the
  1 35 beneficiary's income exceeds the allowable maximum, the
  2  1 applicable rate is the statewide average charge to private-pay
  2  2 patients for nonhospital-based, medicare-certified, skilled
  2  3 nursing facility care.
  2  4    d. b.  For a beneficiary who meets the medical assistance
  2  5 level of care requirements for services in a psychiatric
  2  6 medical institution for children and who resides in a
  2  7 psychiatric medical institution for children, the applicable
  2  8 rate is the statewide average charge to private-pay patients
  2  9 for psychiatric medical institution for children care.
  2 10    e. c.  For a beneficiary who meets the medical assistance
  2 11 level of care requirements for services in a state mental
  2 12 health institute and who either resides in a state mental
  2 13 health institute or is eligible for medical assistance home
  2 14 and community-based waiver services except that the
  2 15 beneficiary's income exceeds the allowable maximum, the
  2 16 applicable rate is the statewide average charge for state
  2 17 mental health institute care.
  2 18    d.  For a beneficiary who meets the medical assistance
  2 19 level of care requirements for services in a nursing facility
  2 20 and is receiving care or is receiving specialized care such as
  2 21 an adult receiving Alzheimer's care, a child receiving skilled
  2 22 nursing facility care, or an adult or child receiving skilled
  2 23 nursing facility care for neurological disorders, the
  2 24 applicable rate is the statewide average charge for nursing
  2 25 facility services for the services or specialized services
  2 26 provided.  
  2 27                           EXPLANATION
  2 28    This bill relates to certain eligibility provisions under
  2 29 the medical assistance (Medicaid) program.
  2 30    With regard to disposition of medical assistance income
  2 31 trusts, the bill eliminates two level of care bases for
  2 32 determining the charge for different levels of nursing
  2 33 facility care and provides instead for a determination based
  2 34 on the average charge for nursing facility services including
  2 35 for specific specialized services such as Alzheimer's care
  3  1 provided to an adult, skilled nursing facility care provided
  3  2 to a child, and skilled nursing facility care for neurological
  3  3 disorders provided to a child or an adult.  
  3  4 LSB 5190DP 80
  3  5 pf/sh/8.1
     

Text: HSB00624                          Text: HSB00626
Text: HSB00600 - HSB00699               Text: HSB Index
Bills and Amendments: General Index     Bill History: General Index

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