26B-3-221. Medicaid waiver for respite care facility that provides services to homeless individuals.
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Effective 5/1/2024
26B-3-221. Medicaid waiver for respite care facility that provides services to homeless individuals.
(1)As used in this section:
(a)"Adult in the expansion population" means an adult:
(i)described in 42 U.S.C. Sec. 1396a(a)(10)(A)(i)(VIII); and
(ii)not otherwise eligible for Medicaid as a mandatory categorically needy individual.
(b)"Homeless" means the same as that term is defined in Section 26B-3-207 .
(c)"Medical respite care" means short-term housing with supportive medical services.
(d)"Medical respite facility" means a residential facility that provides medical respite care to homeless individuals.
(2)Before January 1, 2025, the department shall amend a Medicaid waiver with CMS to choose no more than two medical respite facilities to reimburse for services provided to an individual who is:
(a)homeless; and
(b)an adult in the expansion population.
(3)The department shall choose medical respite facilities that are best able to serve homeless individuals who are adults in the expansion population.
(4)If the waiver or state plan amendment described in Subsection
(2)is approved, while the waiver or state plan amendment is in effect, the department shall submit a report to the Health and Human Services Interim Committee each year before November 30 detailing:
(a)the number of homeless individuals served under the waiver;
(b)the cost of the program; and
(c)the reduction of health care costs due to the program's implementation.
(5)Through administrative rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the department shall further define and limit the services, described in this section, provided to a homeless individual.
Amended by Chapter 284 , 2024 General Session