§ 71-5-1419. Operational Plan and Budget for Home-Based and Community-Based Services to Elderly and Disabled Individuals
By January 1, 2000, the long-term care services planning council, in consultation with the long-term care advisory council, shall develop an operational plan and budget projections for a program for home-based and community-based services (HBCS) to elderly and disabled individuals in need of assistance. The program should provide services to elderly and disabled individuals in […]
§ 71-5-1410. Strategies to Assist Nursing Facilities in Diversifying Their Lines of Business
The commissioner shall develop and implement strategies to assist nursing facilities in diversifying their lines of business, including provision of home and community-based services and specialized nursing facility care to meet the targeted needs of chronic care populations. The strategies may include, but are not limited to, provision of training and technical assistance, streamlined provider […]
§ 71-5-1411. Plan to Expand Cost-Effective Community-Based Residential Alternatives to Institutional Care
The commissioner shall develop and implement a plan to expand cost-effective community-based residential alternatives to institutional care for persons who are elderly or adults with physical disabilities, or both, which may include, but not limited to, the development of multiple levels of assisted-care living facility services, adult family care homes, adult foster care homes, companion […]
§ 71-5-1412. Transition Period Following Implementation of Managed Long-Term Care Service Delivery System
A managed care organization (MCO) shall contract with any nursing facility licensed under title 68, chapter 11, part 2, and certified by the centers for medicare and medicaid services, that provides medicaid nursing facility services pursuant to an approved preadmission evaluation (PAE) and is willing to contract with the MCO to provide that service under […]
§ 71-5-1413. Acuity-Based Reimbursement Methodology for Nursing Facility Services
The commissioner shall develop and implement an acuity-based reimbursement methodology for nursing facility services, based on an individualized assessment of need, as an alternative to the current cost-based nursing facility reimbursement system. The methodology may include, but is not limited to, the development of enhanced rates for specified chronic care services that may encourage the […]
§ 71-5-1414. Self-Directed Health Care
The commissioner shall, upon approval of a waiver amendment granting authority from the federal government, develop and make available consumer-directed options for persons receiving home and community-based long-term care services under the long-term care program, which may include, but are not limited to, the ability to select, direct or employ persons delivering unskilled hands-on or […]
§ 71-5-1401. Short Title
This part shall be known and may be cited as the “Long-Term Care Community Choices Act of 2008.”
§ 71-5-1402. Objectives of Long-Term Care System
The long-term care system shall recognize that aging is not a disease, but rather a natural process that often includes increasing needs for assistance with daily living activities. To the maximum extent possible and appropriate, the system shall be based on a model of care delivery that acknowledges that services delivered in home and community-based […]
§ 71-5-1403. Part Definitions
As used in this part, unless the context otherwise requires: “Budget allowance” means the amount of money that can be directed, utilizing the services of a fiscal intermediary, by a medicaid-eligible long-term care member participating in this consumer-directed care option, to pay for home and community-based long-term care services defined under the medicaid state plan […]
§ 71-5-1404. Development and Implementation of a Statewide Fully Integrated Risk-Based Long-Term Care System
The commissioner shall develop and implement a statewide fully integrated risk-based long-term care system that integrates medicaid-reimbursed primary, acute and long-term care services, building in strong consumer protections and aligning incentives to ensure that the right care is delivered in the right place at the right time. The long-term care system shall rebalance the overall […]