ID H0351

Reorganizes Section 56-254 of Idaho Code to restructure how Medicaid eligibility categories are defined and managed for different beneficiary groups

Maintains three benchmark plans for low-income children/working-age adults, persons with disabilities/special health needs, and persons with dual Medicare-Medicaid coverage, with exceptions for mandatory managed care enrollment by department rule

Clarifies that subsection (3) establishes a managed care plan or plans available on voluntary or mandatory basis for persons meeting specified criteria, including those eligible under Title XVI of the Social Security Act and persons needing nursing facility or community-based services

Modifies references to relevant Social Security Act titles to correctly align with federal program structures for AABD (Aid to Aged, Blind and Disabled) coverage and services eligibility determinations

Allows the department to specify additional managed care enrollment criteria through administrative rule beyond those explicitly stated in statute