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FL H1335

FL H1335
Long-term Care Managed Care Prioritization


summary

Introduced
01/11/2016
In Committee
03/02/2016
Crossed Over
03/02/2016
Passed
03/09/2016
Dead
Signed/Enacted/Adopted
03/28/2016

Introduced Session

2016 Regular Session

Bill Summary

Requires DEA to maintain statewide wait list for enrollment for home & community-based services through Medicaid long-term care managed care program; requires the department to prioritize individuals for potential enrollment using frailty-based screening tool that provides priority score; provides for determinations regarding offers of enrollment.

AI Summary

This bill requires the Department of Elderly Affairs (DEA) to establish and manage a statewide waitlist for individuals seeking home and community-based services through Florida's Medicaid long-term care managed care program. To determine priority for enrollment, the DEA will use a frailty-based screening tool that assigns a priority score, with older individuals on the waitlist receiving preference if scores are tied. The bill also defines terms like "authorized representative" (someone legally allowed to make decisions for a Medicaid recipient), "rescreening" (annual or change-triggered re-evaluations for waitlist placement), "screening" (the initial process to get a priority score), and "significant change" (events like illness, changes in living situation, or loss of a caregiver that might warrant a re-evaluation). Importantly, certain individuals, including those aged 18-20 with severe chronic conditions, nursing facility residents seeking to move to the community, and those referred by Adult Protective Services, will be given priority enrollment and will not need to go through the screening or waitlist process if they meet other eligibility requirements.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (1)

Other Sponsors (1)

Health and Human Services Committee (House)

Last Action

Chapter No. 2016-147, companion bill(s) passed, see HB 5003 (Ch. 2016-62) (on 03/28/2016)

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