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Increased Transparency and Faster Access to Medicaid Home Care Services.

This bill mandates greater transparency in state Medicaid Home and Community-Based Services (HCBS) programs by requiring states to publicly report detailed data on waiting lists and actual service delivery times. It also introduces the option for individuals to receive up to 60 days of interim care immediately after eligibility is determined, bridging the gap until a final care plan is approved. These changes aim to improve access and accountability for essential care for the elderly and disabled.
Key points
States must publicly disclose detailed information about HCBS waiting lists, including average wait times and how often individuals on the list are screened.
Eligible individuals can receive up to 60 days of temporary home care services immediately after qualification, before their final written care plan is finalized.
States gain flexibility to expand HCBS coverage to new groups, provided this expansion does not increase wait times for current eligible beneficiaries.
Increased reporting ensures greater accountability regarding the percentage of authorized care hours that are actually furnished to recipients.
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Additional Information
To amend title XIX of the Social Security Act to increase transparency and expand coverage options with respect to home and community-based services under a Medicaid waiver.
Print number: HR 8106
Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5]
Process start date: 2024-04-23