TO: | Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services |
FROM: | John S O'Brien, Director, Legislative Budget Board |
IN RE: | SB222 by Nelson (Relating to access to certain long-term care services and supports under the medical assistance program.), Committee Report 1st House, Substituted |
Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
---|---|
2012 | $13,627,065 |
2013 | $14,173,005 |
2014 | $14,196,321 |
2015 | $14,196,321 |
2016 | $14,196,321 |
Fiscal Year | Probable Savings/(Cost) from GR Match For Medicaid 758 |
Probable Savings/(Cost) from Federal Funds 555 |
---|---|---|
2012 | $13,627,065 | $19,236,310 |
2013 | $14,173,005 | $19,136,054 |
2014 | $14,196,321 | $19,112,738 |
2015 | $14,196,321 | $19,112,738 |
2016 | $14,196,321 | $19,112,738 |
SECTION 1 would require the Health and Human Services Commission (HHSC) to ensure that recipients who are eligible to receive attendant care services under the community based alternatives program (CBA) are first provided those services under a Medicaid state plan program. The bill directs HHSC to allow a recipient to receive attendant care services under a waiver program only if certain conditions are met.
The bill directs HHSC to adopt rules and procedures related to: the coordination of services, an automated authorization system for authorizing and registering attendant care services, and billing procedures between Medicaid state plan programs and CBA.
SECTION 6 would require HHSC to apply for and actively pursue amendments to the Community Living Assistance and Support Services (CLASS) and Home and Community-based Services (HCS) waivers to authorize the provision of personal attendant services through programs operated under those waivers.
The requirement that CBA recipients first receive attendant care services through Medicaid state plan services would save $33.3 million annually in All Funds ($13.8 million General Revenue in fiscal year 2012, $14.2 million General Revenue in fiscal year 2013).
According to the Department of Aging and Disability Services (DADS), there is likely to be a cost savings by offering attendant type services in addition to habilitation within the intellectual and developmental disabilities Medicaid waivers (CLASS and HCS), but DADS is unable to determine the amount at this time.
The cost of automation changes necessary to implement the requirements under SECTIONS 1 and 6 is approximately $ 446,000 ($223,000 in General Revenue) in fiscal year 2012.
Source Agencies: | 529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
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LBB Staff: | JOB, CL, JI, AFe
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