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SPONSOR: |
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DATE TYPED: |
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HB |
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SHORT TITLE: |
Medicaid Waiver to Expand Eligibility |
SB |
SJM 0019 |
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ANALYST: |
Weber |
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APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
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FY03 |
FY04 |
FY03 |
FY04 |
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|
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$0.0 |
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See narrative |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Duplicates SJM 19
Responses Received From
Human Services Department
SUMMARY
Synopsis of Bill
Senate
Joint Memorial 19 requests that the Human Services Department (HSD) apply for a
Medicaid Waiver from the federal Centers for Medicare and Medical Services
(CMS) to enable New Mexico citizens meeting Medicaid eligibility who leave
institutions and who were enrolled in Medicaid prior to institutionalization to
enjoy presumptive eligibility and immediate access to Medicaid benefits upon
completion of the enrollment process.
Further, the Waiver would enable other
Significant Issues
Medicaid eligibility is
based upon one’s current circumstances.
The receipt of Medicaid prior to institutionalization does not assure
all eligibility factors will be met upon deinstitutionalization. If a woman were receiving Medicaid based upon
the fact that she was living with her eligible children, she would again need
to reside with the children upon deinstitutionalization. Current
federal regulations allow only children and pregnant women to receive
presumptive eligibility.
Any
Individuals
receiving Supplemental Security Income (SSI) in
FISCAL IMPLICATIONS
Senate
Joint Memorial 19 contains no appropriation.
There would, however, be a cost, based upon the number of individuals
enrolled in the program. A determination
of the number of individuals deinstitutionalized each year who
were on Medicaid immediately prior to their institutionalization would be
necessary but is not now currently available.
OTHER SUBSTANTIVE
ISSUES
It
is unnecessary to have language that would enable citizens leaving institutions
to be eligible for Medicaid upon completion of the enrollment process. Citizens are already eligible if they meet
all conditions of eligibility.
MW/yr