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Legislative Year: 2025 Change
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Bill Detail: HB25-1162

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Title Eligibility Redetermination for Medicaid Members
Status Introduced In House - Assigned to Health & Human Services (02/03/2025)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors L. Feret (D)
Senate Sponsors
House Committee Health and Human Services
Senate Committee
Date Introduced 02/03/2025
AI Summary
Summary

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.

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