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Senate hearing reviews changes to medical eligibility assessments to reduce wrongful terminations
Summary
SB 6 12 would modify clinical eligibility criteria for long-term care and expand who may provide determinations; DHHS reported shrinking the Medical Eligibility Assessment from 14 to three pages, piloting case-manager attestations for redeterminations, and targeting vendor and IT changes for a July 1 rollout, while advocates urged an interim moratorium on terminations.
Senator Kevin Avard introduced SB 6 12 to amend long-term care eligibility rules by adding mobility to activities of daily living considered for level-of-care determinations and by broadening who may provide clinical input (physicians, physician assistants or APRNs and other health providers).
Representatives from DHHS described a stakeholder-driven process that reduced the Medical Eligibility Assessment (MEA) from roughly 14 pages to a…
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