HB 485

Requires the Department of Health and Human Services, Division of Health Benefits (DHB), in consultation with stakeholders, to submit a request meeting the following goals to the Centers for Medicare and Medical Services (CMS) that: (1) provides Medicaid coverage of personal care services to residents in licensed adult care homes and special care units whose income exceeds the State-County Special Assistance Program limits, but does not exceed either 180% of the federal poverty level (for those who would otherwise qualify for State-County Special Assistance at the basic rate) or 200% of the federal poverty level (for those who would otherwise qualify for State-County Special Assistance at the enhanced rate); (2) ensures cost of any new Medicaid coverage requested is offset by savings or cost avoidance; and (3) ensures compliance with applicable legal requirements. Requires DHB to take any necessary actions to implement this act and submit the request to CMS within 90 days of the act becoming law.