HF 275 (LSB 1435HV (1) 90)

HOUSE FILE 275

BY  COMMITTEE ON HEALTH AND HUMAN SERVICES

(SUCCESSOR TO HF 74)

A BILL FOR

An Act relating to the maximum annual services caps for specified services under certain Medicaid home and community-based services waivers.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID INTELLECTUAL DISABILITY HOME AND COMMUNITY-BASED SERVICES WAIVER —— HOME AND VEHICLE MODIFICATIONS —— ANNUAL SERVICES CAP.  The department of health and human services shall eliminate the lifetime maximum cap and instead establish and maintain a home and vehicle modifications services annual maximum cap per waiver member year for the Medicaid intellectual disability home and community-based services waiver to reflect the same amount as that for the home and vehicle modifications services annual maximum cap per waiver member year for the Medicaid brain injury home and community-based services waiver. The department shall continue to require that any home and vehicle modifications are medically necessary and are subject to prior authorization by the department.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires the department of health and human services (HHS) to eliminate the lifetime maximum cap and instead establish and maintain a home and vehicle modifications services annual maximum cap per waiver member year for the Medicaid intellectual disability home and community-based services (HCBS) waiver to reflect the same amount as that for the home and vehicle modifications services annual maximum cap for the Medicaid brain injury HCBS waiver. The department shall continue to require that any such modifications are medically necessary and are subject to prior authorization by HHS.
   For fiscal year 2022-2023, the home and vehicle modifications lifetime maximum cap for the intellectual disability HCBS waiver is $5,727.37 and the annual maximum cap for the brain injury HCBS waiver is $6,872.85.