House Amendment 1427


PAG LIN




     1  1    Amend the amendment, H=1417, to House File 841 as
     1  2 follows:
     1  3 #1.  Page 10, by inserting after line 11, the
     1  4 following:
     1  5    <Sec.    .  CASE MANAGEMENT FOR THE FRAIL ELDERLY.
     1  6    1.  The department of human services shall submit a
     1  7 medical assistance state plan amendment to the centers
     1  8 for Medicare and Medicaid services of the United
     1  9 States department of health and human services to
     1 10 provide for inclusion of case management for the frail
     1 11 elderly as a medical assistance covered service.  The
     1 12 department of human services shall develop the medical
     1 13 assistance state plan amendment in consultation with
     1 14 the department of elder affairs.
     1 15    2.  If the medical assistance state plan amendment
     1 16 is approved, the department of elder affairs shall use
     1 17 existing funding for case management as nonfederal
     1 18 matching funds.  The department of elder affairs, in
     1 19 consultation with the department of human services,
     1 20 shall determine the amount of current funding that
     1 21 would be eligible for use as nonfederal matching funds
     1 22 so that sufficient funding is retained to provide case
     1 23 management services for frail elders who are not
     1 24 eligible for the medical assistance program.
     1 25    The department shall establish a reimbursement rate
     1 26 for case management for the frail elderly such that
     1 27 the amount of state funding necessary to pay for such
     1 28 case management does not exceed the amount
     1 29 appropriated to the department of elder affairs for
     1 30 case management for the frail elderly in the fiscal
     1 31 year beginning July 1, 2005.  All state and federal
     1 32 funds appropriated or received for case management for
     1 33 the frail elderly shall be used for services to
     1 34 clients eligible for medical assistance.  Any state
     1 35 savings realized from case management for the frail
     1 36 elderly shall be used to expand services to the frail
     1 37 elderly.
     1 38    3.  The department of human services in
     1 39 consultation with the department of elder affairs
     1 40 shall determine whether case management for the frail
     1 41 elderly should continue to be provided through a sole
     1 42 source contract or if a request for proposals process
     1 43 should be initiated to provide the services.  The
     1 44 departments shall submit their recommendation to the
     1 45 general assembly by January 1, 2006.>
     1 46 #2.  By renumbering as necessary.
     1 47
     1 48
     1 49                               
     1 50 UPMEYER of Hancock
     2  1
     2  2
     2  3                               
     2  4 J. K. VAN FOSSEN of Scott
     2  5
     2  6
     2  7                               
     2  8 HEATON of Henry
     2  9 HF 841.222 81
     2 10 pf/sh/2083

                              -1-