Legislative Session number- 81

Bill Name: SF2841

E Modifying certain provisions relating to continuing care services for persons
with disabilities; requiring health maintenance organization (HMO) membership
cards to include the telephone number of the office of the ombudsman for mental
health and mental retardation for persons enrolled in the coordinated service
delivery system for persons with disabilities under medical assistance (MA);
clarifying mental health case manager training and skill requirements; including
the demonstration project for people with disabilities in the definition of
government program for health plan company adverse determinations external
review requirement exception purposes; modifying certain qualification
requirements of case managers under the adult and children s mental health acts;
providing an exception to the prohibition on coverage under medical assistance
for personal care services provided by legal guardians of adults; modifying
certain restrictions on prior authorization of home care services provided in
adult or child foster care settings by the commissioner of human services under
medical assistance; expanding the definition of setting for shared personal care
assistant services and private duty nursing services to outside the home under
certain conditions and restricting the number of recipients allowed to receive
care from one private duty nurse in the same setting; eliminating a certain
restriction on payment for crisis services to intermediate care facilities for
persons with mental retardation or related conditions relating to shared service
agreements; modifying certain contract requirements for medical assistance
reimbursement to ICF MRs, requiring the commissioners of human services and
health to review the consolidated standards for services to persons with mental
retardation and a certain supervised living facility rule to determine waivers
for intermediate care facilities to implement performance measures without
duplicating or increasing the regulatory requirements; modifying certain ICF MR
variable rate adjustment requirements, requiring facilities to maintain and
submit monthly bed use data for rate adjustment purposes; requiring the
commissioner of human services to review the process of variable rate
adjustments during the initial contract period to determine effectiveness;
requiring prepaid health plans serving counties with nonprofit community clinics
or community health services agencies under the consolidated service delivery
system to contract with the clinics or agencies to provide services to clients
choosing to receive services from the clinics or agencies under certain payment
rate agreement conditions (ja)