CS/HB 1335 - Long-Term Care Managed Care Prioritization

• Department of Elderly Affairs must maintain a statewide wait list for home and community-based services enrollment through the Medicaid long-term care managed care program, using a frailty-based screening tool to assign priority scores.

• Aging resource center personnel must conduct initial screenings and annual rescreenings (or when significant changes occur) for individuals requesting long-term care services; the department must adopt screening tool rules and publish the priority score methodology on its website.

• Department must notify applicants of wait list placement, document contact attempts, and send a 30-day notice letter to individuals it cannot contact; failure to complete screening within 30 days results in termination from the wait list.

• Individuals may be terminated from the wait list for not maintaining current priority scores, missing three rescheduling attempts without response, requesting removal, receiving enrollment offers, or beginning services in the program.

• Three categories receive priority enrollment without completing the screening or wait-list process: individuals aged 18-20 with chronic debilitating conditions requiring 24-hour care, nursing facility residents requesting community transition after 60 consecutive days, and individuals referred by Department of Children and Families as high-risk for Adult Protective Services.