Bill > S7056

This bill requires the Department of Elderly Affairs to establish and manage a statewide wait list for individuals seeking home and community-based services through the Medicaid long-term care managed care program, which provides services to help people remain in their homes rather than in nursing facilities. To determine who gets enrolled first, the department will use a "frailty-based screening tool" that assigns a "priority score" based on an individual's health and living situation, with "rescreening" conducted annually or when a "significant change" occurs in their life, such as a health crisis or loss of a caregiver. An "authorized representative" can act on behalf of an individual in this process, and the bill outlines procedures for contacting individuals, managing the wait list, and terminating enrollment if certain conditions aren't met, though specific groups like young individuals with chronic illnesses, nursing facility residents transitioning to the community, and those referred by adult protective services will receive priority enrollment.