§ 25.5-6-1701. Legislative Declaration
The general assembly finds and declares that there is a need to ensure a high-performing statewide case management system exists that serves all populations of people who qualify for long-term services and supports. The case management system includes, but is not limited to, intake and eligibility screening and determination, outreach, and other administrative activities and […]
§ 25.5-8-102. Legislative Declaration
The general assembly hereby finds and declares that a significant percentage of children are uninsured. This lack of health insurance coverage decreases children’s access to preventive health-care services, compromises the productivity of the state’s future workforce, and results in avoidable expenditures for emergency and remedial health care. Health-care providers, health-care facilities, and all purchasers of […]
§ 25.5-6-1702. Definitions
As used in this part 17, unless the context otherwise requires: “Authorized representative” means a person designated by the member receiving services, or by the parent or guardian of the member receiving services, if appropriate, to assist the member in acquiring or utilizing long-term services and supports pursuant to this article 6 and article 10 […]
§ 25.5-8-103. Definitions
As used in this article 8, unless the context otherwise requires: “Child” means a person who is less than nineteen years of age. “Children’s basic health plan” or “plan” means the subsidized health insurance product designed by the department of health care policy and financing and provided to enrollees, as defined in this section. “Department” […]
§ 25.5-6-1703. Case Management System – Defined Service Areas – Case Management Services – Only Willing and Qualified Provider Exemption – Rules
No later than July 1, 2024, the state board shall adopt rules providing for the establishment of a case management system that consists of case management agencies throughout the state for the purpose of enabling individuals in need of long-term care to access appropriate long-term services and supports. Members in need of specialized assistance may […]
§ 25.5-8-104. Children’s Basic Health Plan – Rules
The medical services board is authorized to adopt rules to implement the children’s basic health plan to provide health insurance coverage to eligible persons on a statewide basis pursuant to the provisions of this article. Any rules adopted by the children’s basic health plan policy board in accordance with the requirements of the “State Administrative […]
§ 25.5-6-1704. Intellectual and Developmental Disability Determination – Functional Eligibility Determination – Rules
Intellectual and developmental disability determination. Any person may request an evaluation to determine whether the person has a developmental delay or an intellectual and developmental disability and is eligible to receive long-term services and supports pursuant to this article 6 and article 10 of this title 25.5. The person must request a developmental delay determination […]
§ 25.5-6-1401. Legislative Declaration
The general assembly hereby declares its support for the full employment of people with disabilities. It is the general assembly’s intent to enact this part 14 for the purpose of allowing an individual with disabilities to purchase medicaid coverage that will enable the individual to maintain employment without losing his or her medicaid benefits. Source: […]
§ 25.5-6-1402. Definitions
As used in this part 14, unless the context otherwise requires: “Basic coverage group” means the category of eligibility under the federal “Ticket to Work and Work Incentives Improvement Act of 1999”, Pub.L. 106-170, that provides an opportunity to buy into medicaid consistent with the federal “Social Security Act”, 42 U.S.C. sec. 1396a (a)(10)(A)(ii)(XV), as […]
§ 25.5-6-1403. Waivers and Amendments
Repealed. If approved by the joint budget committee and subject to available appropriations, the state department shall submit to the federal centers for medicare and medicaid services an amendment to the state medical assistance plan, and shall request any necessary waivers from the secretary of the federal department of health and human services, to permit […]