Medicaid; bring forward eligibility, services and managed care provisions for possible amendment.
What changed between versions
Added eligibility for disabled workers with incomes up to 250% of the federal poverty level to purchase Medicaid coverage
Added eligibility for pregnant women with family income up to 185% of the federal poverty level, limited to family planning services
Added eligibility for children in foster care to remain covered until age 21
Added eligibility for individuals with end-stage renal disease, cancer, or organ transplant recipients on dialysis
Added eligibility for Medicare Part D beneficiaries with income up to 150% of the federal poverty level
Added postpartum coverage extension of up to 12 months for qualifying pregnant women
Modified eligibility for low-income families and children to include specific income percentages of federal poverty level
Added eligibility for workers with potentially severe disabilities to purchase Medicaid coverage
Added eligibility for individuals with opioid dependency and substance use disorders
Added eligibility for pediatric extended care centers for medically dependent children
Added requirement for managed care entities to implement uniform credentialing process for providers by December 2021
Added requirement for managed care entities to provide detailed denial explanations and appeal processes
Added requirement for enhanced reimbursement for trauma care and disproportionate share hospitals
Modified dental service reimbursement rates with 5% annual increases for fiscal years 2022-2025
Modified effective date to July 1, 2025, with repeal on June 30, 2025