HB4771 Summary

• Establishes expedited long-term care eligibility determination system requiring decisions within 90 days of complete application receipt, with up to 90-day extension if asset transfer investigation is initiated.

• Requires streamlined application and enrollment process by December 31, 2015 that minimizes applicant burden, integrates online data sources, and provides real-time alerts for missing information.

• Mandates Department of Healthcare and Family Services issue advance payment vouchers up to $50,000,000 to nursing facilities by June 30, 2014 to address Medicaid payment delays, recoupable by June 30, 2015.

• Requires nursing facilities to submit all medical assistance applications online through the Application for Benefits Eligibility (ABE) website after completion of three regional trainings.

• Beginning June 29, 2018, applicants missing federal processing deadlines must receive provisional Medicaid eligibility with benefits paid through fee-for-service system until final determination is made; providers must be reimbursed for services during provisional period.