Senate Bill No. 127 Summary

• Creates "Ticket to Work Health Assurance Program" allowing employed disabled individuals to receive MO HealthNet coverage through August 28, 2019, with premiums scaled from 4-6% for those earning 100-300% of federal poverty level.

• Establishes new statewide dental delivery system for MO HealthNet allowing the division to administer dental benefits directly or contract with third parties.

• Modifies home and community-based care referral process requiring the Department of Health and Senior Services to process and approve/deny referrals within 15 business days, with optional provider assessments when department does not meet deadlines.

• Implements MAGI (Modified Adjusted Gross Income) methodology effective January 1, 2014 for MO HealthNet eligibility determinations for families, pregnant women, and children, requiring annual redeterminations and electronic verification of income and citizenship.

• Expands foster care youth MO HealthNet coverage effective August 28, 2013 to include individuals under age 26 who were in state foster care on their 18th birthday and previously covered by Medicaid, without regard to income or assets.