2022 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Head
Medicaid Spenddown Procedures for Community Based Care (language only)

Item 304 #56h

Item 304 #56h

Health and Human Resources
Department of Medical Assistance Services


Page 340, after line 10, insert:

"PPPP. The spenddown procedures for community based care patients shall not differ from facility patients. The expected monthly cost of home care shall be projected at the beginning of the month."


(This amendment adds language requiring the Department of Medical Assistance Services treat Medicaid recipients of community based care similarly to those in nursing homes when determining how medical care costs incurred by the recipient are applied to Medicaid eligibility, required patient payments and the period for which the cost of care is incurred. Medicaid spenddown refers to a requirement for individuals or families who otherwise meet all the Medicaid non-financial and resource eligibility requirements, but whose countable income exceeds the medically needy income limit for their city or county of residence. A spenddown is similar to an insurance policy deductible.)