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IN SB0421
Bill
AI Summary
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Amendments to Indiana Code regarding Medicaid reimbursement for assisted living services provided to aged or disabled individuals through residential care facilities or housing with services establishments, effective July 1, 2018.
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Permits Medicaid reimbursement for home and community based services beginning on the date of an individual's Medicaid application rather than after approval.
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Prohibits the office from requiring kitchenette sinks, universal physical plant compliance, private-only rooms, separated housing and service agreements, or restrictions on shared bathrooms with participant consent in assisted living settings.
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Requires the office to implement an appeals process allowing residents to challenge a provider's determination that it cannot meet the resident's health needs without undue burden or operational changes.
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Mandates the office resume enrollment of dementia care providers with specialized secure settings in home and community based services programs by December 31, 2018, after consulting with providers and dementia experts.
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Requires written inspection findings to be issued within 30 calendar days after compliance inspections for state and federal home and community based services requirements.
Legislative Description
Assisted living services. Requires the office of Medicaid policy and planning (office) to reimburse for assisted living services provided to a Medicaid waiver recipient who is aged or disabled when the service is provided by a residential care facility or a housing with services establishment. Allows for Medicaid reimbursement for any home and community based services provided to a Medicaid recipient beginning on the date of the individual's application. Sets forth requirements and limitations concerning assisted living services provided in a home and community based services setting. Requires the office to implement a process for and resume enrollment of a
Last Action
Public Law 173
3/21/2018