Introduced Version
HOUSE BILL No. 1503
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-15-2-2.5.
Synopsis: Prior approval for Medicaid. Requires the office of
Medicaid policy and planning (office) to establish and implement a
procedure to allow a nursing home resident to seek prior approval for
the Medicaid program when the individual's assets are not more than
$5,000. Sets forth the procedure for the office to follow and the
individual to follow to receive preapproval and final approval to
receive Medicaid. Requires the office to apply for federal approval if
the office deems federal approval is necessary.
Effective: July 1, 2011.
January 20, 2011, read first time and referred to Committee on Public Health.
Introduced
First Regular Session 117th General Assembly (2011)
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HOUSE BILL No. 1503
A BILL FOR AN ACT to amend the Indiana Code concerning
Medicaid.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 12-15-2-2.5; (11)IN1503.1.1. -->
SECTION 1. IC 12-15-2-2.5 IS ADDED TO THE INDIANA CODE
AS A
NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2011]:
Sec. 2.5. (a) The office shall establish and implement a
procedure to allow an individual who is a resident of a health
facility licensed under IC 16-28 to submit a Medicaid application
for prior approval when the individual's assets are not more than
five thousand dollars ($5,000).
(b) The office shall review the application and determine
whether the individual meets all the requirements other than the
asset requirements. The office may not deny the application on the
sole basis that the individual's assets exceed the assets allowable
under the Medicaid program. If the office determines that the
individual meets all the requirements under the Medicaid program
except for the asset limitation, the office shall consider the
individual preapproved to participate in the Medicaid program
and notify the individual in writing of the preapproval.
(c) If an individual is preapproved for participation in Medicaid
under subsection (b), the individual may submit a form developed
by the office when the individual's assets meet the Medicaid asset
requirements. Upon submission of the form, the office shall
expedite final review and approval of the individual's Medicaid
application.
(d) The office shall apply to the United States Department of
Health and Human Services for an amendment to the state
Medicaid plan, if the office determines that an amendment is
necessary to implement this section.
(e) The office may adopt rules under IC 4-22-2 necessary to
implement this section.