2003 Session

Budget Amendments - SB700 (Committee Approved)

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Medicaid Patient Pay Amounts (language only)

Item 325 #4s

Item 325 #4s

Health And Human Resources
Medical Assistance Services, Department of

Page 323, line 37, after "responsibility." insert:
"These maximum amounts shall not be lower than the highest amounts reimbursed by Medicare or Medicaid for the same non-covered medical service."

(This amendment clarifies that out-of-pocket medical expenditures that count toward Medicaid eligibility for nursing facility services or that Medicaid recipients contribute toward their cost of care in a nursing facility are recognized as the highest amount paid by either Medicare or Medicaid for reimbursement of those services. Currently, Medicaid eligible nursing facility residents may keep $30 of their monthly income as a personal needs allowance, for miscellaneous personal expenses. The rest of their income is paid to the nursing facility towards the cost of their care. When nursing facility residents have expenses for medical services that are not covered by Medicaid, they are allowed to use their income, which would otherwise go toward paying their cost of care, to cover those expenses. The introduced budget allows the Department to recognize these expenses as the amount that Medicaid would have paid for the services instead of the gross charge for these services.)