View Article

04
posted on October 04, 2017 12:11

The Idaho Department of Health and Welfare will hold public hearings this month for nine dockets, starting Friday, Oct. 13. The list of meetings, locations, and links are provided in the Idaho Administrative Bulletin for October. 

More information can be found at:

DOCKET NO. 16-0301-1701 -- Eligibility for health care assistance for families and children: This rule change adds guidance around the eligibility criteria that a participant must meet to be eligible for services under the Youth Empowerment Services program. This is a companion rule to Docket No. 16-0310-1706 and Docket No. 16-0318- 1701 publishing in this Bulletin.

DOCKET NO. 16-0309-1702 -- Medicaid Basic Plan benefits: These rule changes allow the Department flexibility to adjust requirements for authorizations and coverage to ensure that access to mental health services is consistent with the requirements in Code of Federal Regulations.

DOCKET NO. 16-0309-1703 -- Medicaid Basic Plan benefits:  This rule change streamlines the processes between two department divisions and resolves an access issue with the Infant Toddler program. 

DOCKET NO. 16-0309-1704 -- Medicaid Basic Plan benefits: Under a court-approved settlement agreement, the Department is implementing the use of a new assessment tool to replace the SIB-R assessment tool. The Department uses assessment tools to determine developmental disability eligibility, waiver eligibility, skill level, and the participant’s budget for services. Reference to the SIB-R assessment tool is being removed from this chapter.

DOCKET NO. 16-0310-1702 -- Medicaid Enhanced Plan benefits: These rule changes allow the department flexibility to adjust requirements for authorizations and coverage to ensure that access to mental health services is consistent with the requirements in Code of Federal Regulations.

DOCKET NO. 16-0310-1703  -- Medicaid Enhanced Plan benefits: This rule change streamlines the processes between two department divisions and resolves an access issue with the Infant Toddler program.

DOCKET NO. 16-0310-1706  -- Medicaid Enhanced Plan benefits: As part of the Jeff D settlement agreement and the adoption of HB 43 (2017) which is directly related to it, the Department has created the Youth Empowerment Services (YES) program for children with Serious Emotional Disturbance (SED). The YES program will provide medical and behavioral health assistance to this target population, including respite care. These rule changes are needed so that the Department can provide these services to YES Program participants in accordance with the Jeff D settlement agreement.

DOCKET NO. 16-0310-1707  -- Medicaid Enhanced Plan benefits: Under a court-approved settlement agreement, the Department is implementing the use of a new assessment tool to replace the SIB-R assessment tool. The Department uses assessment tools to determine developmental disability eligibility, waiver eligibility, skill level, and the participant’s budget for services. Reference to the SIB-R assessment tool is being removed from this chapter and will no longer be incorporated by reference. The Department-approved assessment tool is being defined in the chapter and all references to the SIB-R will be removed and replaced throughout this chapter.

DOCKET NO. 16-0318-1701 -- Medicaid cost-sharing: These rule changes will enable the department to charge a monthly premium to YES participants whose family income is above Title XIX income limits. The department is charging a premium to comply with the cost-sharing provisions in Section 56-257, Idaho Code, as well as to uphold parity among similar programs targeting populations of Idaho children with special health care needs.

 

Oral or written recommendations are accepted at meetings. Those who cannot attend a meeting can submit written recommendations and comments through the addresses provided for each docket.