The bill authorizes the department of health care policy and
financing (state department) to seek federal authorization to:
Extend the timeline for member reenrollment in the state medical assistance program based on the financial eligibility for a member whose income is based solely on a fixed income source; and
Verify a member's eligibility for reenrollment based on income and need at the same time.
The bill requires the state department to modify the questions
asked to medical professionals when verifying a member's need for long-term services and supports and allows any licensed medical professional who has a bona fide physician-patient relationship with a member to complete the documentation necessary to verify a member's need for long-term services and supports.
The bill prohibits the state department from requiring new
documentation for a member who transitions from receiving services in an institutional setting to receiving services in a home- and community-based setting and vice versa.