H.B. 96-1188 Medical assistance program - revisions - appropriation. Clarifies the medical assistance program's right of assignment for a recipient's workers' compensation benefits.
Requires the state department of health care policy and financing to ensure that managed care providers allow a recipient to disenroll at any time, implement consumer friendly procedures for disenrollment, and allow adequate response time for recipients to make selection options.
Establishes the statutory authority for the department of health care policy and financing to impute occupancy in medical nursing facilities at 85% in urban areas.
Redefines, clarifies, and changes allowable cost centers for nursing facility reimbursement.
Limits certain physician referrals to comply with federal law.
Changes the criteria for determining when private-duty nursing services may be delivered.
Deletes the requirement that the department of health care policy and financing submit an annual report to the general assembly on certain aspects of community-based programs.
Eliminates the requirement that income trusts be court-approved.
Provides that a person who is eligible for home and community-based services for the developmentally disabled may be eligible for home and community-based services for the elderly, blind, and disabled if the need for such services is due to impairments based on developmental disability diagnosis.
Reduces the appropriation in the long bill to the department of health care policy and financing, medical services division, by $84,667 and reduces the appropriation to the judicial department by $26,902.
APPROVED by Governor May 23, 1996
EFFECTIVE May 23, 1996
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