2003 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Brink
Medicaid Presumptive Eligibility

Item 325 #17h

Item 325 #17h

First Year - FY2003 Second Year - FY2004
Health And Human Resources
Medical Assistance Services, Department of FY2003 $0 FY2004 $5,600,000 GF
FY2003 $0 FY2004 $5,700,000 NGF

Page 310, line 52, strike "$3,463,427,364" and insert "$3,474,727,364".
Page 327, after line 3, insert:
"UUU.  The Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to provide presumptive eligibility for children in Medicaid as permitted in Title XIX of the Social Security Act.  Entities qualified to presumptively enroll children in Medicaid shall include hospitals, health departments, and federally qualified health centers (FQHC).  The Department shall promulate emergency regulations to become effective within 280 days or fewer from the enactment date of this act."

(This amendment provides for presumptive eligibility for children qualifying for Medicaid. 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. Under presumptive eligibility, states are allowed 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 Medicaid and/or state children's health insurance programs for children.)