CO HB1018

Individuals being discharged from nursing facilities would be presumptively eligible for Medicaid long-term services and supports, including home- and community-based services, if they are functionally eligible and attest to meeting income, asset, and immigration requirements

Nursing facilities must notify the Department of Health Care Policy and Financing within 3 business days when a resident is eligible for transition; the department must complete functional eligibility assessments within 1 business day of notification

County departments must enroll presumptively eligible individuals in long-term services and supports within 3 business days of notification, with all necessary services required to be in place before the discharge date

Annual reporting to the state auditor is required starting January 1, 2028, detailing the number of presumptive eligibility determinations, processing times, and cases where individuals were discharged without services in place

Remedial measures include transferring county department responsibilities after 3 enrollment failures in a calendar year, and billing penalties of up to 7 days for nursing facilities that fail to discharge individuals on time due to factors within their control