X hits on this document

Word document

I.EXECUTIVE ORDERS - page 325 / 359

1517 views

0 shares

0 downloads

0 comments

325 / 359

Department of Health and Hospitals

Office of the Secretary

Bureau of Health Services Financing

Medicaid Eligibility—Medicaid Family Opportunity Act Medicaid Program (LAC 50:III.2303)

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing proposes to adopt LAC 50:III.2303 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act. This proposed Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq.

The Family Opportunity Act, signed into law by Congress as part of the Deficit Reduction Act of 2005, contains provisions which allow states to offer a Medicaid buy-in program for children with disabilities. This optional Medicaid coverage is available to families with income above the financial standards for Supplemental Security Income (SSI) but not more than 300 percent of the federal poverty level.

In compliance with the directives of the Family Opportunity Act, the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing implemented a Medicaid buy-in program, known as the Family Opportunity Act Medicaid Program, to provide health care coverage to children with disabilities who were born on or after October 1, 1995 and who are not eligible for SSI disability benefits due to excess income or resources (Louisiana Register, Volume 34, Number 8). The department promulgated an Emergency Rule to amend the August 20, 2008 Rule to expand coverage to include children born on or before October 1, 1989, and are under age 19 (Louisiana Register, Volume 34, Number 9). This proposed Rule is being promulgated to continue the provisions of the October 1, 2008 Emergency Rule.

Title 50

PUBLIC HEALTH—MEDICAL ASSISTANCE

Part III.  Eligibility

Subpart 3.  Eligibility Groups and Factors

Chapter 23.Eligibility Groups and Programs

§2303.Family Opportunity Act Medicaid Program

A....

B.Eligibility Requirements. Children born on or after October 1, 1989, up to age 19, and who meet the following requirements may receive health care coverage through the Family Opportunity Act Medicaid Program.

B.1. - D.5.b....

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:1628 (August 2008), amended LR 35:

Family Impact Statement

In compliance with Act 1183 of the 1999 Regular Session of the Louisiana Legislature, the impact of this proposed Rule on the family has been considered. It is anticipated that this proposed Rule will have a positive impact on family functioning, stability and autonomy as described in R.S. 49:972 by providing health care coverage to children with disabilities who are not eligible for SSI disability benefits

due to excess income or resources.

Interested persons may submit written comments to Jerry Phillips, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030. He is responsible for responding to inquiries regarding this proposed Rule. A public hearing on this proposed Rule is scheduled for Tuesday, November 25, 2008 at 9:30 a.m. in Room 118, Bienville Building, 628 North Fourth Street, Baton Rouge, LA. At that time all interested persons will be afforded an opportunity to submit data, views or arguments either orally or in writing. The deadline for receipt of all written comments is 4:30 p.m. on the next business day following the public hearing.

Alan Levine

Secretary

FISCAL AND ECONOMIC IMPACT STATEMENT FOR ADMINISTRATIVE RULES

RULE TITLE: Medicaid EligibilityFamily Opportunity Act Medicaid Program

I.ESTIMATED IMPLEMENTATION COSTS (SAVINGS) TO STATE OR LOCAL GOVERNMENT UNITS (Summary)

It is anticipated that the implementation of this proposed rule will result in an estimated increase in expenses to the state of $312,581 for FY 08-09, $794,165 for FY 09-10, and $1,106,623 for FY 10-11.  It is anticipated that $246 ($123 SGF and $123 FED) will be expended in FY 08-09 for the state’s administrative expense for promulgation of this proposed rule and the final rule.

II.ESTIMATED EFFECT ON REVENUE COLLECTIONS OF STATE OR LOCAL GOVERNMENTAL UNITS (Summary)

It is anticipated that the implementation of this proposed rule will increase federal revenue collections by approximately $787,870 for FY 08-09, $2,002,190 for FY 09-10, and $2,789,937 for FY 10-11.  It is anticipated that $123 will be collected in FY 08-09 for the federal share of administrative expenses for promulgation of this proposed rule and the final rule.  In addition, it is anticipated that this proposed rule will increase state revenue collections from the participant’s premium payments by approximately $44,844 in FY 08-09, $113,979 in FY 09-10 and $158,823 for FY 10-11 which will be placed in the state general fund.

III.ESTIMATED COSTS AND/OR ECONOMIC BENEFITS TO DIRECTLY AFFECTED PERSONS OR NONGOVERNMENTAL GROUPS (Summary)

This rule, which continues the provisions of the October 1, 2008 emergency rule, proposes to expand coverage in the Family Opportunity Act Medicaid Program to provide coverage to eligible children with disabilities who were born on or before October 1, 1989 (approximately 404 recipients), and are not eligible for Supplemental Security Income (SSI) disability benefits due to excess income or resources.  It is anticipated that implementation of this proposed rule will increase expenditures in the Medicaid Program by approximately $1,100,205 for FY 08-09, $2,796,355 for FY 09-10 and $3,896,560 for FY 10-11.

IV.ESTIMATED EFFECT ON COMPETITION AND EMPLOYMENT (Summary)

It is anticipated that the implementation of this rule will have no effect on competition and employment.

Jerry Phillips

Robert E. Hosse

Medicaid Director

Staff Director

0810#106

Legislative Fiscal Officer

NOTICE OF INTENT

Louisiana Register   Vol. 34, No. 10   October 20, 2008

Document info
Document views1517
Page views1520
Page last viewedSun Dec 04 00:54:50 UTC 2016
Pages359
Paragraphs18243
Words293762

Comments