HOUSE OF REPRESENTATIVES

H.B. NO.

93

TWENTY-NINTH LEGISLATURE, 2017

H.D. 1

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO MEDICAID.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


SECTION 1. The legislature finds that a bottleneck occurs between hospitals and long-term care facilities for waitlisted health care patients, particularly those with complex medical needs. Waitlisted health care patients are individuals who have recovered sufficiently and no longer need the acute level of care that a hospital provides, but who cannot be transferred from a hospital to another facility because an appropriate placement cannot be found. It is especially difficult to locate a placement for patients who have a complex medical need, such as a traumatic brain injury or cognitive impairment, as the costs of treating these patients are prohibitively high for long-term care facilities. The current medicaid level of reimbursement for long-term care facilities does not match the cost of providing services to health care patients with medically complex needs.

To help hospitals place high-cost patients who no longer need acute care into appropriate long-term care settings, it is critical that long-term care facilities receive payments that better reflect the costs of care attendant with medically complex cases. One way to more adequately compensate long-term care facilities for these services is to provide an add-on payment to the long-term care medicaid base rate for patients with complex medical needs. According to data collected by George Washington University for the Medicaid and CHIP Payment and Access Commission, thirty-eight other states provide add-on payments to the medicaid base rate to help long-term care providers care for patients with complex needs, including ventilators, behavioral health issues, and cognitive impairments. Providing an add-on payment will help long-term care facilities cover the additional costs needed to care for these patients and facilitate the timely discharge of patients with complex needs from hospitals, thereby cutting health care costs.

The purpose of this Act is to provide enhanced medicaid payments to long-term care facilities that accept and care for medically-complex patients awaiting discharge from an acute care hospital, to help place patients in the most appropriate setting of care, and to open up hospital beds for acute patients.

SECTION 2. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

"346-   Medically complex add-on payments. (a) Insurers that contract with the department to provide long-term care services to medicaid enrollees shall provide a medically complex add-on payment, in addition to the base rate, for medical enrollees in long-term care facilities with complex medical, behavioral, mental health, and cognitive needs who are waitlisted at an acute care hospital.

(b) The insurer shall provide a medically complex add-on payment to the long-term care facility's base rate as long as the medicaid enrollee meets at least one qualifying condition.

(c) The long-term care facility shall provide and keep sufficient documentation in the medicaid enrollee's clinical record to justify the medically complex add-on payment determination in accordance with any rules the department may issue. The clinical record shall include documentation of at least one qualifying condition, the severity of the symptoms, and the need for direct service worker resources or enhanced supports.

(d) The add-on payment shall be forty per cent of the medicaid base rate.

(e) As used in this section:

"Acute care hospital" means an institution providing acute health care services licensed or certified by the department of health under chapter 321.

"Long-term care facility" shall have the same meaning as in section 349-21.

"Medicaid enrollees" means individuals enrolled in the state medicaid program.

"Qualifying condition" means:

(1) A severe medical condition;

(2) A severe mental or behavioral health condition;

(3) A significant physical or nutritional need requiring full assistance with nutrition, mobility, and activities of daily living;

(4) A complex medical need that makes the medicaid enrollee medically fragile;

(5) A traumatic brain injury or head trauma;

(6) A condition requiring enhanced supports or direct service worker resources; or

(7) Any other condition the director deems appropriate.

"Severe medical condition" means a condition that results in an individual requiring, for an extended period of time, a high level of constant care to maintain comfort or sustain life or requiring a treatment that, if not provided, could place the individual at risk of complications, injury, or death.

"Severe mental or behavioral health conditions" means a condition that affects persons age eighteen or older who currently or at any time in the past year had a diagnosable mental, behavioral, or emotional disorder, excluding developmental and substance use disorders, of a sufficient duration to meet diagnostic criteria specified within the most current DSM-IV that has resulted in serious functional impairment that interferes with or limits one or more major life activities.

"Waitlisted" means no longer requiring an acute level of care but residing in an acute care facility because no appropriate placement or services can be secured."

SECTION 3. There is appropriated out of the general revenues of the State of Hawaii the sum of $         or so much thereof as may be necessary for fiscal year 2017-2018 and the same sum or so much thereof as may be necessary for fiscal year 2018-2019 to provide a medically complex add-on payment to long-term care facilities for qualified waitlisted medicaid enrollees pursuant to this Act.

The sums appropriated shall be expended by the department of human services for the purposes of this Act.

SECTION 4. New statutory material is underscored.

SECTION 5. This Act shall take effect on July 1, 2075.


 


 

Report Title:

Medicaid; Hospitals; Long-term Care; Skilled Nursing; Add-on Payment; Appropriation

 

Description:

Requires insurers that contract with the Department of Human Services, to provide a medically complex add-on payment of 40 percent of the Medicaid base rate for medical enrollees in long-term care facilities with complex medical, behavioral, mental health, and cognitive needs who are waitlisted at an acute care hospital. Appropriates funds for medically complex add-on payments. (HB93 HD1)

 

 

 

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