HI SB788

Establishes presumptive medicaid eligibility for patients waitlisted for long-term care, allowing them to receive coverage based on demonstrated income, assets, waitlist certification, and level of care requirements rather than waiting for full eligibility determination.

Department of Human Services must notify applicants and facilities of presumptive eligibility upon application receipt, with applicants required to submit remaining documentation within ten business days and DHS providing final eligibility determination within five business days.

If a waitlisted patient is later determined ineligible for medicaid after receiving services, DHS must disenroll the patient and reimburse the provider or plan for services provided during the presumptive eligibility period.

Requires DHS to conduct a study of computerized medicaid application systems and submit findings and recommendations to the legislature by 2012, with annual reports through 2016 on costs and issues related to medicaid presumptive eligibility.

Appropriates unspecified general revenue funds for fiscal year 2011-2012 to cover reimbursements to providers for services rendered to eventually-ineligible waitlisted patients; sunset provision repeals presumptive eligibility provisions on July 1, 2016.