MA S903

Office of Medicaid must support community discharge for MassHealth patients in post-acute care hospitals by revising administrative day approval language, adopting transparent adverse determination processes, and expanding community resources for patients with chronic, medically complex conditions

Medicaid rates for non-acute care hospitals must be based on reported costs from no more than 2 years prior to the current rate year, and prior authorization is eliminated for patient transitions from acute or non-acute hospitals to CMS-certified home health agencies

Creates a complex care ombudsman program with at least one case manager assigned to each of the state's 5 EMS regions to assist hospitals with discharges to lower-level post-acute care settings

Establishes a regional pilot program to increase staffed long-term care beds, dementia beds, and geriatric psychiatric beds in nursing facilities, with stakeholder consultation on workforce training and 1:1 nursing care recruitment

Creates an Office of Adult Guardianship and Conservatorship Oversight within the Probate and Family Court, authorizes probate courts to hold weekly or bi-weekly healthcare case sessions, and requires a public outreach campaign to recruit retired professionals as guardians for patients without identified advocates