Bill Text: OH SB87 | 2011-2012 | 129th General Assembly | Introduced

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Bill Title: To implement recommendations of the Unified Long-Term Care Budget Workgroup.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Introduced - Dead) 2011-02-22 - To Health, Human Services, & Aging [SB87 Detail]

Download: Ohio-2011-SB87-Introduced.html

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As Introduced

129th General Assembly Regular Session 2011-2012

S. B. No. 87

Senators Tavares, Schiavoni 

Cosponsor: Senator Skindell 

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A BILL

To amend sections 122.63, 5111.16, 5111.85, 5111.861,

1

5111.89, and 5111.891 and to enact sections

2

175.14, 2305.2310, 5111.161, 5111.862, and

3

5111.895 of the Revised Code to implement

4

recommendations of the Unified Long-Term Care

5

Budget Workgroup.

6

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section 1. That sections 122.63, 5111.16, 5111.85, 5111.861,	7
5111.89, and 5111.891 be amended and sections 175.14, 2305.2310,	8
5111.161, 5111.862, and 5111.895 of the Revised Code be enacted to	9
read as follows:	10

Sec. 122.63.  The department of development shall:

11

(A) Provide technical assistance to sponsors, homeowners,	12
private developers, contractors, and other appropriate persons on	13
matters relating to housing needs and the development,	14
construction, financing, operation, management, and evaluation of	15
housing developments;	16

(B) Carry out continuing studies and analyses of the housing	17
needs of this state and, after conducting public hearings, prepare	18
annually a plan of housing needs, primarily for the use of the	19
department. The plan, copies of which shall be filed with the	20
speaker of the house of representatives and the president of the	21
senate for distribution to the members of the general assembly,	22
shall:	23

(1) Establish areawide housing needs, including existing and	24
projected needs for the provision of an adequate supply of decent,	25
safe, and sanitary housing for low- and moderate-income persons,	26
including housing that may require utilization of state or federal	27
assistance;	28

(2) Establish priorities for housing needs, taking into	29
account the availability of and need for conserving land and other	30
natural resources;	31

(3) Be coordinated with other housing and related planning of	32
the state and of regional planning agencies.	33

(C) Carry out the provisions of Chapter 3735. of the Revised	34
Code relating to metropolitan housing authorities;	35

(D) Carry out the provisions of sections 174.01 to 174.07 of	36
the Revised Code relating to the low- and moderate-income housing	37
trust fund;	38

(E) Request a waiver from the federal government in order to	39
implement a pilot program that would instruct public housing	40
agencies operating under Part IX of Title 24 of the Code of	41
Federal Regulations to give priority to finding housing to	42
individuals who are transitioning from a long-term care facility,	43
as defined in section 175.14 of the Revised Code, or who are at	44
risk of immediate admission to such a long-term care facility.	45

Sec. 175.14.  (A) As used in this section, "long-term care	46
facility" means all of the following:	47

(1) A nursing home licensed under section 3721.02 or 3721.09	48
of the Revised Code;	49

(2) A county home or district home operated under Chapter	50
5155. of the Revised Code;	51

(3) A county nursing home as defined in section 5155.31 of	52
the Revised Code.	53

(B) The Ohio housing finance agency, in providing rental,	54
homeownership, and program assistance, shall adopt a mechanism to	55
give priority to placing and aiding individuals who are	56
transitioning from a long-term care facility or who are at risk of	57
immediate admission to a long-term care facility.	58

Sec. 2305.2310.  (A) As used in this section:

59

"Community-based long-term care services" and "recipient"	60
have the same meanings as in section 173.14 of the Revised Code.	61

"Volunteer" means an individual who provides a service	62
without the expectation of receiving and without receipt of any	63
compensation or other form of remuneration from any person or	64
governmental entity.	65

(B) An individual is not liable in a civil action for damage	66
resulting from conveying in a motor vehicle, as a volunteer, a	67
recipient pursuant to a transportation service included in a	68
community-based long-term care service, unless the individual's	69
action that causes the damage constitutes willful or wanton	70
misconduct.	71

Sec. 5111.16. (A) As part of the medicaid program, the	72
department of job and family services shall establish a care	73
management system. The department shall submit, if necessary,	74
applications to the United States department of health and human	75
services for waivers of federal medicaid requirements that would	76
otherwise be violated in the implementation of the system.	77

(B) The department shall implement the care management system	78
in some or all counties and shall designate the medicaid	79
recipients who are required or permitted to participate in the	80
system. In the department's implementation of the system and	81
designation of participants, all of the following apply:	82

(1) In the case of individuals who receive medicaid on the	83
basis of being included in the category identified by the	84
department as covered families and children, the department shall	85
implement the care management system in all counties. All	86
individuals included in the category shall be designated for	87
participation, except for individuals included in one or more of	88
the medicaid recipient groups specified in 42 C.F.R. 438.50(d).	89
The department shall ensure that all participants are enrolled in	90
health insuring corporations under contract with the department	91
pursuant to section 5111.17 of the Revised Code.	92

(2) In the case of individuals who receive medicaid on the	93
basis of being aged, blind, or disabled, as specified in division	94
(A)(2) of section 5111.01 of the Revised Code, the department	95
shall implement the care management system in all counties. All	96
Except as provided in division (C) of this section, all	97
individuals included in the category shall be designated for	98
participation, except for the individuals specified in divisions	99
(B)(2)(a) to (e) of this section. The department shall ensure that	100
all participants are enrolled in health insuring corporations	101
under contract with the department pursuant to section 5111.17 of	102
the Revised Code.	103

In designating participants who receive medicaid on the basis	104
of being aged, blind, or disabled, the department shall not	105
include any of the following:	106

(a) Individuals who are under twenty-one years of age;

107

(b) Individuals who are institutionalized;

108

(c) Individuals who become eligible for medicaid by spending	109
down their income or resources to a level that meets the medicaid	110
program's financial eligibility requirements;	111

(d) Individuals who are dually eligible under the medicaid	112
program and the medicare program established under Title XVIII of	113
the "Social Security Act," 79 Stat. 286 (1965), 42 U.S.C. 1395, as	114
amended;	115

(e) Individuals to the extent that they are receiving	116
medicaid services through a medicaid waiver component, as defined	117
in section 5111.85 of the Revised Code.	118

(3) Alcohol, drug addiction, and mental health services	119
covered by medicaid shall not be included in any component of the	120
care management system when the nonfederal share of the cost of	121
those services is provided by a board of alcohol, drug addiction,	122
and mental health services or a state agency other than the	123
department of job and family services, but the recipients of those	124
services may otherwise be designated for participation in the	125
system.	126

(C) In designating participants who receive medicaid on the	127
basis of being aged, blind, or disabled for participation in the	128
care management system, the department shall not include, except	129
as provided in section 5111.161 of the Revised Code, any of the	130
following:	131

(1) Individuals who are under twenty-one years of age;

132

(2) Individuals who are institutionalized;

133

(3) Individuals who become eligible for medicaid by spending	134
down their income or resources to a level that meets the medicaid	135
program's financial eligibility requirements;	136

(4) Individuals who are dually eligible under the medicaid	137
program and the medicare program established under Title XVIII of	138
the "Social Security Act," 79 Stat. 286 (1965), 42 U.S.C. 1395, as	139
amended;	140

(5) Individuals to the extent that they are receiving	141
medicaid services through a medicaid waiver component, as defined	142
in section 5111.85 of the Revised Code.	143

(D) Subject to division (B) of this section, the department	144
may do both of the following under the care management system:	145

(1) Require or permit participants in the system to obtain	146
health care services from providers designated by the department;	147

(2) Require or permit participants in the system to obtain	148
health care services through managed care organizations under	149
contract with the department pursuant to section 5111.17 of the	150
Revised Code.	151

(D)(E)(1) The department shall prepare an annual report on	152
the care management system. The report shall address the	153
department's ability to implement the system, including all of the	154
following components:	155

(a) The required designation of participants included in the	156
category identified by the department as covered families and	157
children;	158

(b) The required designation of participants included in the	159
aged, blind, or disabled category of medicaid recipients;	160

(c) The use of any programs for enhanced care management.

161

(2) The department shall submit each annual report to the	162
general assembly. The first report shall be submitted not later	163
than October 1, 2007.	164

(E)(F) The director of job and family services may adopt	165
rules in accordance with Chapter 119. of the Revised Code to	166
implement this section.	167

Sec. 5111.161.  (A) As used in this section:

168

"Full-benefit dual eligible individual" has the same meaning	169
as in section 1935(c)(6) of the "Social Security Act," 117 Stat.	170
2157 (2003), 42 U.S.C. 1396u-5(c)(6), as amended.	171

"Specialized MA plan for special needs individuals" has the	172
same meaning as in section 1859(b)(6)(A) of the "Social Security	173
Act," 117 Stat. 2207 (2003), 42 U.S.C. 1395w-28(b)(6)(A), as	174
amended.	175

"Unified long-term care budget workgroup" means the workgroup	176
created by Section 209.40 of Am. Sub. H.B. 1 of the 128th general	177
assembly or a successor to that workgroup.	178

(B) In addition to designating individuals for participation	179
in the care management system in accordance with division (B) of	180
section 5111.16 of the Revised Code and subject to division (D) of	181
this section, the department of job and family services shall	182
permit an individual to participate in the care management system	183
if all of the following apply:	184

(1) The individual receives medicaid on the basis of being	185
aged, blind, or disabled.	186

(2) The individual is a full-benefit dual eligible	187
individual.	188

(3) The individual is enrolled in a specialized MA plan for	189
special needs individuals.	190

(4) The individual volunteers to participate in the care	191
management system.	192

(C) In permitting an individual to participate in the care	193
management system pursuant to division (B) of this section, the	194
department shall do both of the following:	195

(1) Arrange for the individual to enroll in a health insuring	196
corporation that is under contract with the department pursuant to	197
section 5111.17 of the Revised Code to provide, or arrange for the	198
provision of, health care services that the individual receives	199
under medicaid;	200

(2) Take into consideration the recommendations of the	201
unified long-term care budget workgroup concerning the integration	202
of full-benefit dual eligible individuals into the care management	203
system.	204

(D) The department shall not implement this section until	205
receiving a waiver sought under division (A) of section 5111.16 of	206
the Revised Code if implementation of this section would otherwise	207
violate a federal medicaid requirement.	208

Sec. 5111.85.  (A) As used in this section and sections	209
5111.851 to 5111.856 of the Revised Code:	210

"Home and community-based services medicaid waiver component"	211
means a medicaid waiver component under which home and	212
community-based services are provided as an alternative to	213
hospital, nursing facility, or intermediate care facility for the	214
mentally retarded services.	215

"Hospital" has the same meaning as in section 3727.01 of the	216
Revised Code.	217

"Intermediate care facility for the mentally retarded" has	218
the same meaning as in section 5111.20 of the Revised Code.	219

"Medicaid waiver component" means a component of the medicaid	220
program authorized by a waiver granted by the United States	221
department of health and human services under section 1115 or 1915	222
of the "Social Security Act," 49 Stat. 620 (1935), 42 U.S.C.A.	223
1315 or 1396n. "Medicaid waiver component" does not include a care	224
management system established under section 5111.16 of the Revised	225
Code.	226

"Nursing facility" has the same meaning as in section 5111.20	227
of the Revised Code.	228

(B) The director of job and family services may adopt rules	229
under Chapter 119. of the Revised Code governing medicaid waiver	230
components that establish all of the following:	231

(1) Eligibility requirements for the medicaid waiver	232
components;	233

(2) The type, amount, duration, and scope of services the	234
medicaid waiver components provide;	235

(3) The conditions under which the medicaid waiver components	236
cover services;	237

(4) The amount the medicaid waiver components pay for	238
services or the method by which the amount is determined;	239

(5) The manner in which the medicaid waiver components pay	240
for services;	241

(6) Safeguards for the health and welfare of medicaid	242
recipients receiving services under a medicaid waiver component;	243

(7) Procedures for both of the following:

244

(a) Identifying individuals who meet all of the following	245
requirements:	246

(i) Are eligible for a home and community-based services	247
medicaid waiver component and on a waiting list for the component;	248

(ii) Are receiving inpatient hospital services or residing in	249
an intermediate care facility for the mentally retarded or nursing	250
facility (as appropriate for the component);	251

(iii) Choose to be enrolled in the component.

252

(b) Approving the enrollment of individuals identified under	253
the procedures established under division (B)(7)(a) of this	254
section into the home and community-based services medicaid waiver	255
component.	256

(8) Procedures for enforcing the rules, including	257
establishing corrective action plans for, and imposing financial	258
and administrative sanctions on, persons and government entities	259
that violate the rules. Sanctions shall include terminating	260
medicaid provider agreements. The procedures shall include due	261
process protections.	262

(9) Other policies necessary for the efficient administration	263
of the medicaid waiver components.	264

(C) The director of job and family services may adopt	265
different rules for the different medicaid waiver components. The	266
rules shall be consistent with the terms of the waiver authorizing	267
the medicaid waiver component.	268

(D) AnyThe following apply to procedures established under	269
division (B)(7) of this section:	270

(1) Any such procedures established for the PASSPORT program	271
shall be consistent with section 173.401 of the Revised Code. Any	272

(2) Any such procedures established for Ohio home care shall	273
be consistent with section 5111.862 of the Revised Code.	274

(3) Any such procedures established under division (B)(7) of	275
this section for the assisted living program shall be consistent	276
with section 5111.894 of the Revised Code.	277

Sec. 5111.861.  (A) As used in this section:

278

(1) "Assisted living program" means the medicaid waiver	279
component created under section 5111.89 of the Revised Code.	280

(2) "Choices program" means the medicaid waiver component	281
created under section 173.403 of the Revised Code.	282

(3) "Medicaid waiver component" has the same meaning as in	283
section 5111.85 of the Revised Code.	284

(4) "PASSPORT program" means the medicaid waiver component	285
created under section 173.40 of the Revised Code.	286

(B) The director of job and family services shall submit a	287
request to the United States secretary of health and human	288
services pursuant to 42 U.S.C. 1396n to obtain a federal medicaid	289
waiver that consolidates the following medicaid waiver components	290
into one medicaid waiver component:	291

(1) The assisted living program;

292

(2) The choices program;

293

(3) The PASSPORT program.

294

(C) In seeking a consolidated federal medicaid waiver under	295
this section, the director of job and family services shall work	296
with the director of aging and provide for the waiver to do all of	297
the following:	298

(1) For the part of the waiver that concerns the assisted	299
living program, include the provisions that sections 5111.89 to	300
5111.8945111.895 of the Revised Code establish for the assisted	301
living program;	302

(2) For the part of the waiver that concerns the choices	303
program, include the provisions that section 173.403 of the	304
Revised Code establish for the choices program;	305

(3) For the part of the waiver that concerns the PASSPORT	306
program, include the provisions that sections 173.40 to 173.402 of	307
the Revised Code establish for the PASSPORT program;	308

(4) For each part of the waiver, including the part that	309
concerns the choices program, be available statewide.	310

(D) If the United States secretary approves the consolidated	311
federal medicaid waiver sought under this section, all of the	312
following shall apply:	313

(1) The department of job and family services shall enter	314
into a contract with the department of aging under section 5111.91	315
of the Revised Code for the department of aging to administer the	316
consolidated federal medicaid waiver, except that the department	317
of job and family services, rather than the department of aging,	318
shall administer the part of the waiver that concerns the assisted	319
living program if the director of budget and management does not	320
approve the contract;	321

(2) The director of job and family services shall adopt rules	322
under section 5111.85 of the Revised Code to authorize the	323
director of aging to adopt rules in accordance with Chapter 119.	324
of the Revised Code that are needed to implement the consolidated	325
federal medicaid waiver, except that the director of job and	326
family services shall adopt rules under section 5111.85 of the	327
Revised Code that are needed to implement the part of the waiver	328
that concerns the assisted living program if the director of	329
budget and management does not approve the contract the	330
departments of job and family services and aging enter into under	331
division (D)(1) of this section;	332

(3) Any statutory reference to the assisted living program	333
shall mean the part of the consolidated federal medicaid waiver	334
that concerns the assisted living program;	335

(4) Any statutory reference to the choices program shall mean	336
the part of the consolidated federal medicaid waiver that concerns	337
the choices program;	338

(5) Any statutory references to the PASSPORT program shall	339
mean the part of the consolidated federal medicaid waiver that	340
concerns the PASSPORT program.	341

Sec. 5111.862.  (A) As used in this section:

342

"Nursing facility" has the same meaning as in section 5111.20	343
of the Revised Code.	344

"Ohio home care" means the medicaid waiver component, as	345
defined in section 5111.85 of the Revised Code, that is known as	346
Ohio home care and is administered by the department of job and	347
family services pursuant to a waiver granted by the United States	348
secretary of health and human services under section 1915(c) of	349
the "Social Security Act," 95 Stat. 812 (1981), 42 U.S.C.	350
1396n(c), as amended.	351

(B) The department of job and family services shall establish	352
a home first component of Ohio home care under which eligible	353
individuals may be enrolled in Ohio home care in accordance with	354
this section. An individual is eligible for Ohio home care's home	355
first component if all of the following apply:	356

(1) The individual is eligible for Ohio home care.

357

(2) The individual is on a waiting list for Ohio home care.

358

(3) At least one of the following applies:

359

(a) The individual has been admitted to a nursing facility.

360

(b) A physician has determined and documented in writing that	361
the individual has a medical condition that, unless the individual	362
is enrolled in home and community-based services such as Ohio home	363
care, will require the individual to be admitted to a nursing	364
facility within thirty days of the physician's determination.	365

(c) The individual has been hospitalized and a physician has	366
determined and documented in writing that, unless the individual	367
is enrolled in home and community-based services such as Ohio home	368
care, the individual is to be transported directly from the	369
hospital to a nursing facility and admitted.	370

(C) Each month, each county department of job and family	371
services shall identify individuals residing in the county that	372
the county department serves who are eligible for the home first	373
component of Ohio home care. When a county department identifies	374
such an individual, the county department shall determine whether	375
Ohio home care is appropriate for the individual and whether the	376
individual would rather participate in Ohio home care than	377
continue or begin to reside in a nursing facility. If the county	378
department determines that Ohio home care is appropriate for the	379
individual and the individual would rather participate in Ohio	380
home care than continue or begin to reside in a nursing facility,	381
the county department shall so notify the state department of job	382
and family services. On receipt of the notice from the county	383
department, the state department shall approve the individual's	384
enrollment in Ohio home care regardless of the waiting list for	385
Ohio home care, unless the enrollment would cause Ohio home care	386
to exceed any limit on the number of individuals who may be	387
enrolled in the waiver as set by the United States secretary of	388
health and human services in the waiver authorizing Ohio home	389
care.	390

(D) Each quarter, the state department of job and family	391
services shall certify to the director of budget and management	392
the estimated increase in costs of Ohio home care resulting from	393
enrollment of individuals in Ohio home care pursuant to this	394
section.	395

Sec. 5111.89.  (A) As used in sections 5111.89 to 5111.894	396
5111.895 of the Revised Code:	397

"Area agency on aging" has the same meaning as in section	398
173.14 of the Revised Code.	399

"Assisted living program" means the program created under	400
this section.	401

"Assisted living services" means the following home and	402
community-based services: personal care, homemaker, chore,	403
attendant care, companion, medication oversight, and therapeutic	404
social and recreational programming.	405

"County or district home" means a county or district home	406
operated under Chapter 5155. of the Revised Code.	407

"Long-term care consultation program" means the program the	408
department of aging is required to develop under section 173.42 of	409
the Revised Code.	410

"Long-term care consultation program administrator" or	411
"administrator" means the department of aging or, if the	412
department contracts with an area agency on aging or other entity	413
to administer the long-term care consultation program for a	414
particular area, that agency or entity.	415

"Medicaid waiver component" has the same meaning as in	416
section 5111.85 of the Revised Code.	417

"Nursing facility" has the same meaning as in section 5111.20	418
of the Revised Code.	419

"Residential care facility" has the same meaning as in	420
section 3721.01 of the Revised Code.	421

"State administrative agency" means the department of job and	422
family services if the department of job and family services	423
administers the assisted living program or the department of aging	424
if the department of aging administers the assisted living	425
program.	426

(B) There is hereby created the assisted living program. The	427
program shall provide assisted living services to individuals who	428
meet the program's eligibility requirements established under	429
section 5111.891 of the Revised Code. The program may not serve	430
more individuals than the number that is set by the United States	431
secretary of health and human services when the medicaid waiver	432
authorizing the program is approved. The program shall be operated	433
as a separate medicaid waiver component until the United States	434
secretary approves the consolidated federal medicaid waiver sought	435
under section 5111.861 of the Revised Code. The program shall be	436
part of the consolidated federal medicaid waiver sought under that	437
section if the United States secretary approves the waiver.	438

If the director of budget and management approves the	439
contract, the department of job and family services shall enter	440
into a contract with the department of aging under section 5111.91	441
of the Revised Code that provides for the department of aging to	442
administer the assisted living program. The contract shall include	443
an estimate of the program's costs.	444

The director of job and family services may adopt rules under	445
section 5111.85 of the Revised Code regarding the assisted living	446
program. The director of aging may adopt rules under Chapter 119.	447
of the Revised Code regarding the program that the rules adopted	448
by the director of job and family services authorize the director	449
of aging to adopt.	450

Sec. 5111.891.  To be eligible for the assisted living	451
program, an individual must meet all of the following	452
requirements:	453

(A) Need an intermediate level of care as determined under	454
rule 5101:3-3-06 of the Administrative Code;	455

(B) At the time the individual applies for the assisted	456
living program, be one of the following:	457

(1) A nursing facility resident who is seeking to move to a	458
residential care facility and would remain in a nursing facility	459
for long term care if not for the assisted living program;	460

(2) A participant of any of the following medicaid waiver	461
components who would move to a nursing facility if not for the	462
assisted living program:	463

(a) The PASSPORT program created under section 173.40 of the	464
Revised Code;	465

(b) The choices program created under section 173.403 of the	466
Revised Code;	467

(c) A medicaid waiver component that the department of job	468
and family services administers.	469

(3) A resident of a residential care facility who has resided	470
in a residential care facility for at least six months immediately	471
before the date the individual applies for the assisted living	472
program.	473

(C) At the time the individual receives assisted living	474
services under the assisted living program, reside in a	475
residential care facility that is authorized by a valid medicaid	476
provider agreement to participate in the assisted living program,	477
including both of the following:	478

(1) A residential care facility that is owned or operated by	479
a metropolitan housing authority that has a contract with the	480
United States department of housing and urban development to	481
receive an operating subsidy or rental assistance for the	482
residents of the facility;	483

(2) A county or district home licensed as a residential care	484
facility.	485

(D)(C) Meet all other eligibility requirements for the	486
assisted living program established in rules adopted under section	487
5111.85 of the Revised Code.	488

Sec. 5111.895. The state administrative agency shall	489
establish a presumptive eligibility process for the assisted	490
living program. Under the presumptive eligibility process, an	491
individual may be enrolled conditionally in the assisted living	492
program before the individual is determined to meet the program's	493
financial eligibility requirements established in rules authorized	494
by division (C) of section 5111.891 of the Revised Code if both of	495
the following apply:	496

(A) A written plan of care or individual service plan has	497
been created for the individual pursuant to division (B)(3) of	498
section 5111.851 of the Revised Code.	499

(B) The individual has been determined to meet both of the	500
following:	501

(1) The eligibility requirements established by divisions (A)	502
and (B) of section 5111.891 of the Revised Code;	503

(2) The eligibility requirements established in rules	504
authorized by division (C) of section 5111.891 of the Revised Code	505
other than such eligibility requirements that are financial	506
eligibility requirements.	507

Section 2. That existing sections 122.63, 5111.16, 5111.85,	508
5111.861, 5111.89, and 5111.891 of the Revised Code are hereby	509
repealed.	510

Section 3. (A) Not later than ninety days after the effective	511
date of this section, the Director of Job and Family Services	512
shall submit a state Medicaid plan amendment or Medicaid waiver	513
request to the United States Secretary of Health and Human	514
Services as necessary to obtain federal financial participation	515
for a pilot program to be operated under this section. Not later	516
than ninety days after the date the United States Secretary	517
approves the plan amendment or waiver, the Department of Job and	518
Family Services shall contract with the Department of Mental	519
Health pursuant to section 5111.91 of the Revised Code to have the	520
Department of Mental Health operate the pilot program for two	521
years. The purpose of the pilot program is to assist Medicaid	522
recipients who have severe mental illnesses and reside in nursing	523
facilities transition to home or community-based services. The	524
Director of Job and Family Services may adopt rules under section	525
5111.011 or 5111.85 of the Revised Code establishing additional	526
eligibility requirements for the pilot program. To the extent	527
possible, the pilot program shall be modeled after the Money	528
Follows the Person demonstration project authorized by Section	529
6071 of the "Deficit Reduction Act of 2005," 120 Stat. 102, as	530
amended.	531

(B) In operating the pilot program, the Department of Mental	532
Health shall provide for a technical assistance advisor to do both	533
of the following:	534

(1) Design and implement a training course for individuals	535
who assist Medicaid recipients transition to home or	536
community-based services under the pilot program;	537

(2) Provide technical assistance to both of the following:

538

(a) Medicaid recipients seeking to transition to home or	539
community-based services under the pilot program;	540

(b) Individuals who assist Medicaid recipients transition to	541
home or community-based services under the pilot program.	542

(C) The Departments of Mental Health and Job and Family	543
Services shall prepare and complete a report on the pilot program	544
not later than one year after the pilot program ceases operation.	545
On completion of the report, the Departments shall submit the	546
report to the Governor and, in accordance with section 101.68 of	547
the Revised Code, the General Assembly.	548

Section 4. The Department of Job and Family Services, in	549
consultation with the Department of Aging, shall study the issue	550
of providing care coordination for the acute benefits provided	551
under home and community-based services Medicaid waiver components	552
as defined in section 5111.85 of the Revised Code. Not later than	553
one year after the effective date of this section, the Departments	554
shall submit a report regarding their study to the Governor and,	555
in accordance with section 101.68 of the Revised Code, the General	556
Assembly.	557

Section 5. The Department of Aging shall study the issue of	558
credentialing or licensing discharge planners employed by nursing	559
homes and hospitals. In conducting the study, the Department shall	560
examine the qualifications, including educational qualifications,	561
that a discharge planner should have to be credentialed or	562
licensed. Not later than one year after the effective date of this	563
section, the Department shall submit a report regarding its study	564
to the Governor and, in accordance with section 101.68 of the	565
Revised Code, the General Assembly. The report shall include	566
recommendations regarding the credentialing or licensing of	567
discharge planners employed by nursing homes and hospitals.	568