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House of Representatives Approves Short-Term Expansion of Key Medicaid Programs

Posted on Sunday, March 31, 2019 8:48 PM

On Monday, March 25th the House of Representatives approved the Medicaid Services Investment and Accountability Act of 2019, another short-term extension of the Medicaid Money Follows the Person program, and an extension of the spousal impoverishment protections under Medicaid home and community-based services (HCBS).

The Money Follows the Person program funds state Medicaid programs to allow beneficiaries to remain in their own home instead of an institution by allowing for personal care services, transportation and home modifications. Spousal Impoverishment protections were put in place so that the spouses of Medicaid institutional long-term services and supports (LTSS) recipients were able to maintain certain levels of incomes and assets without counting against the Medicaid status of the institutional LTSS receiving spouse. These protections were not allowable in cases of patients receiving home and community- based services. The Affordable Care Act extended these protections to HCBS scenarios, but they were not made permanent and have needed ongoing extensions to continue.

The Bill is expected to pass through the Senate quickly, and if it does, the extension is through September 2019.

Source: NAHC Report

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