2009 Legislative SessionHousing & Services Impacts

Provider Rate Changes Effective 7/1/09

• 2.58% provider cut effective 7/1/09 for fee-for-service and 10/1/09 for managed care (previous COLA plans no longer applicable)

• 95% cap in each Elderly Waiver 24-hour Customized Living case mix, based on 3/09 rate

• Component rates for 24-hour CL to be established 7/1/09

• Lower Case Mix A rate limits in AC and EW for clients with limited ADL needs

Eligibility Changes Effective 1/1/11

• Thresholds for Nursing Home Level of Care determination increased

• $400 Essential Community Support grant for those no longer eligible for waivered programs

Eligibility Changes Effective 1/1/11

• Authorization for EW 24-hour CL based on one or more of the following: – need for intermittent assistance with toileting,

positioning, or transferring; – need for assistance with cognitive or behavioral issues; – medical condition that requires clinical monitoring; – or dependency in at least two ADLS (bathing,

dressing, grooming, walking, or eating); and needs medication management and at least 50 hours of service per month.

New

Policy Successes

• Housing-with-Services “Diversion” proposal kept out of final bill

• Additional reporting requirements to the Department of Human Services, including rents and other services kept out of final bill

More Information Coming Soon…

• Legislative Program set for June 29

• 2009 Legislative Report and value-added online resources being finalized now

• Monday Mailing and Action Alerts

• Technical assistance team standing by