Urging The Med-quest Division Of The Department Of Human Services And Developmental Disabilities Division Of The Department Of Health To Amend The Eligibility Criteria For The Medicaid 1915(c) Home And Community-based Services Waiver.
Impact
The passage of SR201 could have significant implications for individuals with intellectual and developmental disabilities in Hawaii. Currently, those with additional challenges, such as emotional or mental health disorders, are often left without access to necessary services covered by Medicaid. By amending the eligibility criteria, the resolution seeks to ensure that these individuals receive appropriate support, thereby enhancing their quality of life and integration into their communities. This aligns with broader goals of inclusivity and support for vulnerable populations within the state.
Summary
Senate Resolution 201, introduced in the Thirty-third Legislature of Hawaii in 2025, focuses on amending the eligibility criteria for the Medicaid 1915(c) Home and Community-Based Services Waiver. This resolution urges the Med-QUEST Division of the Department of Human Services, along with the Developmental Disabilities Division of the Department of Health, to reconsider current restrictions that deem certain individuals ineligible based on specific conditions, such as mental illness or substance abuse. The aim is to include individuals with intellectual or developmental disabilities who also experience comorbid mental health issues.
Contention
One potential point of contention surrounding SR201 is the administrative process required to amend eligibility criteria. Critics might argue about the feasibility and implications of such changes on state resources and Medicaid funding. Moreover, there may be concerns about the effectiveness of services for individuals with complex needs, and whether adequate support systems are in place to cater to this demographic once eligibility is expanded. Advocates for individuals with disabilities, however, may counter that expanding these criteria is essential for addressing the current gaps in service provision, reflecting a commitment to meet the diverse needs of the population.
Same As
Urging The Med-quest Division Of The Department Of Human Services And Developmental Disabilities Division Of The Department Of Health To Amend The Eligibility Criteria For The Medicaid 1915(c) Home And Community-based Services Waiver.
Requesting The Department Of Health And Department Of Human Services To: Jointly Review Any Research Applied Behavior Analysis For Adults; Develop And Adopt Rules, Policies, And Plan Amendments Necessary To Ensure That The State Medicaid Program Covers Medically Necessary Services, Including Applied Behavior Analysis Services, For Individuals Aged Twenty-one And Older With Neurodevelopmental Disorders, Including Autism Spectrum Disorder; And Apply For Any Necessary Approvals From The Federal Centers For Medicare And Medicaid Services To Amend The State Medicaid Plan To Provide Reimbursements For Medically Necessary Services, Including Applied Behavior Analysis Services, To Medicaid-eligible Persons Over The Age Of Twenty-one Diagnosed With Autism Spectrum Disorder.
Requesting The Department Of Human Services Med-quest Division To Expand The Types Of Qualified Providers Allowed To Provide Lactation Consultant Services For The Medicaid Population In The State.
Urging The Department Of Human Services' Med-quest Division To Advocate That The State Increase Medicaid Reimbursements To Dentists And, Upon An Increase Approval, To Proactively Inform Both Dental Service Providers And Medicaid Beneficiaries Of New Rate Plans.
Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.
Urging The Department Of Human Services' Med-quest Division To Advocate That The State Increase Medicaid Reimbursements To Dentists And, Upon An Increase Approval, To Proactively Inform Both Dental Service Providers And Medicaid Beneficiaries Of New Rate Plans.
Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.
Requesting The Department Of Human Services' Med-quest Division To Take Steps Necessary To Ensure That Adequate Provider Rates Are Established For Applied Behavior Analysis Services.
Requesting The Department Of Human Services Med-quest Division, In Collaboration With The Department Of Commerce And Consumer Affairs, To Expand The Types Of Qualified Providers Allowed To Provide Lactation Consultant Services For The Medicaid Population In The State.
Urging The Med-quest Division Of The Department Of Human Services And Developmental Disabilities Division Of The Department Of Health To Amend The Eligibility Criteria For The Medicaid 1915(c) Home And Community-based Services Waiver.
Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons.