H.F. 2108 Section 1. MEDICAID HOME AND COMMUNITY-BASED SERVICES 1 WAIVER —— DAILY RATE FOR SUPPORTED COMMUNITY LIVING SERVICES 2 PROVIDED IN THE FAMILY HOME. The department of human services 3 shall amend any Medicaid managed care contract, seek any 4 federal approval, and amend or adopt administrative rules 5 pursuant to chapter 17A, as necessary, to provide that 6 supported community living services provided under a Medicaid 7 home and community-based services waiver shall be available at 8 a daily rate to members eighteen years of age and older living 9 in the home of the member’s family, legal representative, or 10 foster family. 11 EXPLANATION 12 The inclusion of this explanation does not constitute agreement with 13 the explanation’s substance by the members of the general assembly. 14 This bill relates to Medicaid home and community-based 15 services (HCBS) supported community living services. 16 Under current law, supported community living services are 17 available at a daily rate to members living outside the home of 18 their family, legal representative, or foster family (family 19 home) and for whom a provider has the primary responsibility 20 for supervision or structure during the month. For those 21 members not living outside a family home, supported community 22 living services are available at a 15-minute rate for up to 23 7.75 hours per day in the member’s family home. 24 The bill requires the department of human services to amend 25 any managed care contract, seek any federal approval, and amend 26 or adopt administrative rules, as necessary, to provide that 27 supported community living services provided under a Medicaid 28 home and community-based services waiver shall be available at 29 a daily rate to members 18 years of age and older living in the 30 home of the member’s family, legal representative, or foster 31 family. 32 -1- LSB 5692YH (7) 88 pf/rh 1/ 1