2005 Session

Budget Amendments - SB700 (Member Request)

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Chief Patron: Hanger
Prior Authorization for Home Health/Outpatient Rehabilition Services

Item 326 #43s

Item 326 #43s

First Year - FY2005 Second Year - FY2006
Health And Human Resources
Medical Assistance Services, Department of FY2005 $0 FY2006 $700,000 GF
FY2005 $0 FY2006 $700,000 NGF

Page 301, line 51, strike "$4,730,530,852" and insert "$4,731,930,852".
Page 321, after line 16, insert:
"VVV.  The Department shall amend the State Plan for Medical Assistance to limit to 30 visits without prior authorization home health and outpatient rehabilitation services within each fiscal year.  Service extensions beyond the initial 30 visits must be prior authorized.  The Department shall promulgate emergency regulations to implement this amendment within 280 days or less from the enactment of this act."

(This amendment provides funding to allow up to 30 visits for home health and outpatient rehabilitation services before services can be prior authorized. Under current law, these services are prior authorized after five visits.)