2003 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Brink
FAMIS Presumptive Eligibility

Item 324 #1h

Item 324 #1h

First Year - FY2003 Second Year - FY2004
Health And Human Resources
Medical Assistance Services, Department of FY2003 $0 FY2004 $1,700,000 GF
FY2003 $0 FY2004 $3,200,000 NGF

Page 308, line 13, strike "$54,440,764" and insert "$59,340,764".
Page 310, after line 50, insert:
"N. The Department of Medical Assistance Services shall amend its Family Access to Medical Insurance Security Plan and related regulations to provide for presumptive eligibility as permitted in Title XXI of the Social Security Act.  Entities qualified to presumptively enroll children shall include hospitals, health departments and federally qualified health centers.  The Department shall promulgate emergency regulations to implement this provision to become effective within 280 days or fewer from the enactment date of this act."

(This amendment allows for presumptive eligibility for children enrolled in the children's health insurance program. Presumptive eligibility allows for preliminary eligibility screening and immediate enrollment of qualified children for a temporary period, while the formal application is being considered. It allows children to receive services immediately and providers to be reimbursed for those services. Presumptive eligibility allows states to designate "qualified entities" who are trained and authorized to conduct the preliminary eligibility screening and enrollment. Currently, 14 states have adopted presumptive eligibility provisions in their children's health insurance and/or Medicaid programs for children.)