| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1382 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEPRICE. |
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| 5 | 5 | | 2830H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsection208.151,RSMo,andtoenactinlieuthereofonenewsectionrelatingtoMO |
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| 8 | 8 | | HealthNetbenefits. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Section208.151,RSMo,isrepealedandonenewsectionenactedinlieu |
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| 11 | 11 | | 2thereof,tobeknownassection208.151,toreadasfollows: |
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| 12 | 12 | | 208.151.1.Medicalassistanceonbehalfofneedypersonsshallbeknownas"MO |
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| 13 | 13 | | 2HealthNet".ForthepurposeofpayingMOHealthNetbenefitsandtocomplywithTitleXIX, |
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| 14 | 14 | | 3PublicLaw89-97,1965amendmentstothefederalSocialSecurityAct(42U.S.C.Section |
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| 15 | 15 | | 4301,etseq.)asamended,thefollowingneedypersonsshallbeeligibletoreceiveMO |
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| 16 | 16 | | 5HealthNetbenefitstotheextentandinthemannerhereinafterprovided: |
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| 17 | 17 | | 6 (1)Allparticipantsreceivingstatesupplementalpaymentsfortheaged,blindand |
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| 18 | 18 | | 7disabled; |
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| 19 | 19 | | 8 (2)Allparticipantsreceivingaidtofamilieswithdependentchildrenbenefits, |
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| 20 | 20 | | 9includingallpersonsundernineteenyearsofagewhowouldbeclassifiedasdependent |
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| 21 | 21 | | 10childrenexceptfortherequirementsofsubdivision(1)ofsubsection1ofsection208.040. |
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| 22 | 22 | | 11Participantseligibleunderthissubdivisionwhoareparticipatingintreatmentcourt,as |
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| 23 | 23 | | 12definedinsection478.001,shallhavetheireligibilityautomaticallyextendedsixtydaysfrom |
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| 24 | 24 | | 13thetimetheirdependentchildisremovedfromthecustodyoftheparticipant,subjectto |
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| 25 | 25 | | 14approvaloftheCentersforMedicareandMedicaidServices; |
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| 26 | 26 | | 15 (3)Allparticipantsreceivingblindpensionbenefits; |
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| 27 | 27 | | 16 (4)Allpersonswhowouldbedeterminedtobeeligibleforoldageassistance |
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| 28 | 28 | | 17benefits,permanentandtotaldisabilitybenefits,oraidtotheblindbenefitsunderthe |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18eligibilitystandardsineffectDecember31,1973,orlessrestrictivestandardsasestablished |
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| 31 | 31 | | 19byruleofthefamilysupportdivision,whoaresixty-fiveyearsofageoroverandarepatients |
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| 32 | 32 | | 20instateinstitutionsformentaldiseasesortuberculosis; |
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| 33 | 33 | | 21 (5)Allpersonsundertheageoftwenty-oneyearswhowouldbeeligibleforaidto |
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| 34 | 34 | | 22familieswithdependentchildrenexceptfortherequirementsofsubdivision(2)ofsubsection |
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| 35 | 35 | | 231ofsection208.040,andwhoareresidinginanintermediatecarefacility,orreceivingactive |
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| 36 | 36 | | 24treatmentasinpatientsinpsychiatricfacilitiesorprograms,asdefinedin42U.S.C.Section |
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| 37 | 37 | | 251396d,asamended; |
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| 38 | 38 | | 26 (6)Allpersonsundertheageoftwenty-oneyearswhowouldbeeligibleforaidto |
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| 39 | 39 | | 27familieswithdependentchildrenbenefitsexceptfortherequirementofdeprivationof |
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| 40 | 40 | | 28parentalsupportasprovidedforinsubdivision(2)ofsubsection1ofsection208.040; |
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| 41 | 41 | | 29 (7)Allpersonseligibletoreceivenursingcarebenefits; |
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| 42 | 42 | | 30 (8)Allparticipantsreceivingfamilyfosterhomeornonprofitprivatechild-care |
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| 43 | 43 | | 31institutioncare,subsidizedadoptionbenefitsandparentalschoolcarewhereinstatefundsare |
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| 44 | 44 | | 32usedaspartialorfullpaymentforsuchcare; |
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| 45 | 45 | | 33 (9)Allpersonswhowereparticipantsreceivingoldageassistancebenefits,aidtothe |
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| 46 | 46 | | 34permanentlyandtotallydisabled,oraidtotheblindbenefitsonDecember31,1973,andwho |
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| 47 | 47 | | 35continuetomeettheeligibilityrequirements,exceptincome,fortheseassistancecategories, |
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| 48 | 48 | | 36butwhoarenolongerreceivingsuchbenefitsbecauseoftheimplementationofTitleXVIof |
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| 49 | 49 | | 37thefederalSocialSecurityAct,asamended; |
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| 50 | 50 | | 38 (10)Pregnantwomenwhomeettherequirementsforaidtofamilieswithdependent |
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| 51 | 51 | | 39children,exceptfortheexistenceofadependentchildinthehome; |
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| 52 | 52 | | 40 (11)Pregnantwomenwhomeettherequirementsforaidtofamilieswithdependent |
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| 53 | 53 | | 41children,exceptfortheexistenceofadependentchildwhoisdeprivedofparentalsupportas |
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| 54 | 54 | | 42providedforinsubdivision(2)ofsubsection1ofsection208.040; |
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| 55 | 55 | | 43 (12)Pregnantwomenorinfantsunderoneyearofage,orboth,whosefamilyincome |
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| 56 | 56 | | 44doesnotexceedanincomeeligibilitystandardequaltoonehundredeighty-fivepercentofthe |
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| 57 | 57 | | 45federalpovertylevelasestablishedandamendedbythefederalDepartmentofHealthand |
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| 58 | 58 | | 46HumanServices,oritssuccessoragency; |
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| 59 | 59 | | 47 (13)Childrenwhohaveattainedoneyearofagebuthavenotattainedsixyearsofage |
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| 60 | 60 | | 48whoareeligibleformedicalassistanceunderSection6401ofP.L.101-239(OmnibusBudget |
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| 61 | 61 | | 49ReconciliationActof1989)(42U.S.C.Sections1396ato1396b).Thefamilysupport |
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| 62 | 62 | | 50divisionshalluseanincomeeligibilitystandardequaltoonehundredthirty-threepercentof |
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| 63 | 63 | | 51thefederalpovertylevelestablishedbytheDepartmentofHealthandHumanServices,orits |
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| 64 | 64 | | 52successoragency; |
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| 65 | 65 | | 53 (14)Childrenwhohaveattainedsixyearsofagebuthavenotattainednineteenyears |
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| 66 | 66 | | 54ofage.Forchildrenwhohaveattainedsixyearsofagebuthavenotattainednineteenyears |
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| 67 | 67 | | HB1382 2 55ofage,thefamilysupportdivisionshalluseanincomeassessmentmethodologywhich |
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| 68 | 68 | | 56providesforeligibilitywhenfamilyincomeisequaltoorlessthanequaltoonehundred |
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| 69 | 69 | | 57percentofthefederalpovertylevelestablishedbytheDepartmentofHealthandHuman |
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| 70 | 70 | | 58Services,oritssuccessoragency.AsnecessarytoprovideMOHealthNetcoverageunderthis |
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| 71 | 71 | | 59subdivision,thedepartmentofsocialservicesmayrevisethestateMOHealthNetplanto |
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| 72 | 72 | | 60extendcoverageunder42U.S.C.Section1396a(a)(10)(A)(i)(III)tochildrenwhohave |
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| 73 | 73 | | 61attainedsixyearsofagebuthavenotattainednineteenyearsofageaspermittedbyparagraph |
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| 74 | 74 | | 62(2)ofsubsection(n)of42U.S.C.Section1396dusingamoreliberalincomeassessment |
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| 75 | 75 | | 63methodologyasauthorizedbyparagraph(2)ofsubsection(r)of42U.S.C.Section1396a; |
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| 76 | 76 | | 64 (15)Thefamilysupportdivisionshallnotestablisharesourceeligibilitystandardin |
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| 77 | 77 | | 65assessingeligibilityforpersonsundersubdivision(12),(13)or(14)ofthissubsection.The |
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| 78 | 78 | | 66MOHealthNetdivisionshalldefinetheamountandscopeofbenefitswhichareavailableto |
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| 79 | 79 | | 67individualseligibleundereachofthesubdivisions(12),(13),and(14)ofthissubsection,in |
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| 80 | 80 | | 68accordancewiththerequirementsoffederallawandregulationspromulgatedthereunder; |
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| 81 | 81 | | 69 (16)Notwithstandinganyotherprovisionsoflawtothecontrary,ambulatoryprenatal |
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| 82 | 82 | | 70careshallbemadeavailabletopregnantwomenduringaperiodofpresumptiveeligibility |
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| 83 | 83 | | 71pursuantto42U.S.C.Section1396r-1,asamended; |
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| 84 | 84 | | 72 (17)AchildborntoawomaneligibleforandreceivingMOHealthNetbenefitsunder |
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| 85 | 85 | | 73thissectiononthedateofthechild'sbirthshallbedeemedtohaveappliedforMOHealthNet |
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| 86 | 86 | | 74benefitsandtohavebeenfoundeligibleforsuchassistanceundersuchplanonthedateof |
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| 87 | 87 | | 75suchbirthandtoremaineligibleforsuchassistanceforaperiodoftimedeterminedin |
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| 88 | 88 | | 76accordancewithapplicablefederalandstatelawandregulationssolongasthechildisa |
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| 89 | 89 | | 77memberofthewoman'shouseholdandeitherthewomanremainseligibleforsuchassistance |
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| 90 | 90 | | 78orforchildrenbornonorafterJanuary1,1991,thewomanwouldremaineligibleforsuch |
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| 91 | 91 | | 79assistanceifshewerestillpregnant.Uponnotificationofsuchchild'sbirth,thefamily |
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| 92 | 92 | | 80supportdivisionshallassignaMOHealthNeteligibilityidentificationnumbertothechildso |
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| 93 | 93 | | 81thatclaimsmaybesubmittedandpaidundersuchchild'sidentificationnumber; |
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| 94 | 94 | | 82 (18)PregnantwomenandchildreneligibleforMOHealthNetbenefitspursuantto |
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| 95 | 95 | | 83subdivision(12),(13)or(14)ofthissubsectionshallnotasaconditionofeligibilityforMO |
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| 96 | 96 | | 84HealthNetbenefitsberequiredtoapplyforaidtofamilieswithdependentchildren.The |
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| 97 | 97 | | 85familysupportdivisionshallutilizeanapplicationforeligibilityforsuchpersonswhich |
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| 98 | 98 | | 86eliminatesinformationrequirementsotherthanthosenecessarytoapplyforMOHealthNet |
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| 99 | 99 | | 87benefits.Thedivisionshallprovidesuchapplicationformstoapplicantswhosepreliminary |
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| 100 | 100 | | 88incomeinformationindicatesthattheyareineligibleforaidtofamilieswithdependent |
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| 101 | 101 | | 89children.ApplicantsforMOHealthNetbenefitsundersubdivision(12),(13)or(14)ofthis |
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| 102 | 102 | | 90subsectionshallbeinformedoftheaidtofamilieswithdependentchildrenprogramandthat |
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| 103 | 103 | | HB1382 3 91theyareentitledtoapplyforsuchbenefits.Anyformsutilizedbythefamilysupportdivision |
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| 104 | 104 | | 92forassessingeligibilityunderthischaptershallbeassimpleaspracticable; |
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| 105 | 105 | | 93 (19)Subjecttoappropriationsnecessarytorecruitandtrainsuchstaff,thefamily |
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| 106 | 106 | | 94supportdivisionshallprovideoneormorefull-time,permanenteligibilityspecialiststo |
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| 107 | 107 | | 95processapplicationsforMOHealthNetbenefitsatthesiteofahealthcareprovider,ifthe |
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| 108 | 108 | | 96healthcareproviderrequeststheplacementofsucheligibilityspecialistsandreimbursesthe |
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| 109 | 109 | | 97divisionfortheexpensesincludingbutnotlimitedtosalaries,benefits,travel,training, |
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| 110 | 110 | | 98telephone,supplies,andequipmentofsucheligibilityspecialists.Thedivisionmayprovidea |
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| 111 | 111 | | 99healthcareproviderwithapart-timeortemporaryeligibilityspecialistatthesiteofahealth |
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| 112 | 112 | | 100careproviderifthehealthcareproviderrequeststheplacementofsuchaneligibilityspecialist |
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| 113 | 113 | | 101andreimbursesthedivisionfortheexpenses,includingbutnotlimitedtothesalary,benefits, |
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| 114 | 114 | | 102travel,training,telephone,supplies,andequipment,ofsuchaneligibilityspecialist.The |
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| 115 | 115 | | 103divisionmayseektoemploysucheligibilityspecialistswhoareotherwisequalifiedforsuch |
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| 116 | 116 | | 104positionsandwhoarecurrentorformerwelfareparticipants.Thedivisionmayconsider |
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| 117 | 117 | | 105trainingsuchcurrentorformerwelfareparticipantsaseligibilityspecialistsforthisprogram; |
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| 118 | 118 | | 106 (20)Pregnantwomenwhoareeligiblefor,haveappliedforandhavereceivedMO |
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| 119 | 119 | | 107HealthNetbenefitsundersubdivision(2),(10),(11)or(12)ofthissubsectionshallcontinue |
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| 120 | 120 | | 108tobeconsideredeligibleforallpregnancy-relatedandpostpartumMOHealthNetbenefits |
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| 121 | 121 | | 109providedundersection208.152untiltheendofthesixty-dayperiodbeginningonthelastday |
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| 122 | 122 | | 110oftheirpregnancy.Pregnantwomenreceivingmentalhealthtreatmentforpostpartum |
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| 123 | 123 | | 111depressionorrelatedmentalhealthconditionswithinsixtydaysofgivingbirthshall,subject |
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| 124 | 124 | | 112toappropriationsandanynecessaryfederalapproval,beeligibleforMOHealthNetbenefits |
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| 125 | 125 | | 113formentalhealthservicesforthetreatmentofpostpartumdepressionandrelatedmental |
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| 126 | 126 | | 114healthconditionsforuptotwelveadditionalmonths.Pregnantwomenreceivingsubstance |
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| 127 | 127 | | 115abusetreatmentwithinsixtydaysofgivingbirthshall,subjecttoappropriationsandany |
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| 128 | 128 | | 116necessaryfederalapproval,beeligibleforMOHealthNetbenefitsforsubstanceabuse |
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| 129 | 129 | | 117treatmentandmentalhealthservicesforthetreatmentofsubstanceabusefornomorethan |
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| 130 | 130 | | 118twelveadditionalmonths,aslongasthewomanremainsadherentwithtreatment.The |
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| 131 | 131 | | 119departmentofmentalhealthandthedepartmentofsocialservicesshallseekanynecessary |
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| 132 | 132 | | 120waiversorstateplanamendmentsfromtheCentersforMedicareandMedicaidServicesand |
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| 133 | 133 | | 121shalldeveloprulesrelatingtotreatmentplanadherence.Nolaterthanfifteenmonthsafter |
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| 134 | 134 | | 122receivinganynecessarywaiver,thedepartmentofmentalhealthandthedepartmentofsocial |
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| 135 | 135 | | 123servicesshallreporttothehouseofrepresentativesbudgetcommitteeandthesenate |
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| 136 | 136 | | 124appropriationscommitteeonthecompliancewithfederalcostneutralityrequirements; |
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| 137 | 137 | | 125 (21)Casemanagementservicesforpregnantwomenandyoungchildrenatriskshall |
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| 138 | 138 | | 126beacoveredservice.Tothegreatestextentpossible,andincompliancewithfederallawand |
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| 139 | 139 | | 127regulations,thedepartmentofhealthandseniorservicesshallprovidecasemanagement |
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| 140 | 140 | | HB1382 4 128servicestopregnantwomenbycontractoragreementwiththedepartmentofsocialservices |
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| 141 | 141 | | 129throughlocalhealthdepartmentsorganizedundertheprovisionsofchapter192orchapter |
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| 142 | 142 | | 130205oracityhealthdepartmentoperatedunderacitycharteroracombinedcity-countyhealth |
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| 143 | 143 | | 131departmentorotherdepartmentofhealthandseniorservicesdesignees.Tothegreatestextent |
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| 144 | 144 | | 132possiblethedepartmentofsocialservicesandthedepartmentofhealthandseniorservices |
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| 145 | 145 | | 133shallmutuallycoordinateallservicesforpregnantwomenandchildrenwiththe[crippled] |
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| 146 | 146 | | 134children's[program] specialhealthcareneedsservice, thepreventionofintellectual |
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| 147 | 147 | | 135disabilityanddevelopmentaldisabilityprogramandtheprenatalcareprogramadministered |
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| 148 | 148 | | 136bythedepartmentofhealthandseniorservices.Thedepartmentofsocialservicesshallby |
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| 149 | 149 | | 137regulationestablishthemethodologyforreimbursementforcasemanagementservices |
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| 150 | 150 | | 138providedbythedepartmentofhealthandseniorservices.Forpurposesofthissection,the |
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| 151 | 151 | | 139term"casemanagement"shallmeanthoseactivitiesoflocalpublichealthpersonnelto |
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| 152 | 152 | | 140identifyprospectiveMOHealthNet-eligiblehigh-riskmothersandenrolltheminthestate's |
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| 153 | 153 | | 141MOHealthNetprogram,referthemtolocalphysiciansorlocalhealthdepartmentswho |
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| 154 | 154 | | 142provideprenatalcareunderphysicianprotocolandwhoparticipateintheMOHealthNet |
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| 155 | 155 | | 143programforprenatalcareandtoensurethatsaidhigh-riskmothersreceivesupportfromall |
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| 156 | 156 | | 144privateandpublicprogramsforwhichtheyareeligibleandshallnotincludeinvolvementin |
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| 157 | 157 | | 145anyMOHealthNetprepaid,case-managedprograms; |
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| 158 | 158 | | 146 (22)ByJanuary1,1988,thedepartmentofsocialservicesandthedepartmentof |
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| 159 | 159 | | 147healthandseniorservicesshallstudyallsignificantaspectsofpresumptiveeligibilityfor |
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| 160 | 160 | | 148pregnantwomenandsubmitajointreportonthesubject,includingprojectedcostsandthe |
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| 161 | 161 | | 149timeneededforimplementation,tothegeneralassembly.Thedepartmentofsocialservices, |
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| 162 | 162 | | 150atthedirectionofthegeneralassembly,mayimplementpresumptiveeligibilitybyregulation |
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| 163 | 163 | | 151promulgatedpursuanttochapter207; |
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| 164 | 164 | | 152 (23)Allparticipantswhowouldbeeligibleforaidtofamilieswithdependent |
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| 165 | 165 | | 153childrenbenefitsexceptfortherequirementsofparagraph(d)ofsubdivision(1)ofsection |
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| 166 | 166 | | 154208.150; |
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| 167 | 167 | | 155 (24)(a)Allpersonswhowouldbedeterminedtobeeligibleforoldageassistance |
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| 168 | 168 | | 156benefitsundertheeligibilitystandardsineffectDecember31,1973,asauthorizedby42 |
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| 169 | 169 | | 157U.S.C.Section1396a(f),orlessrestrictivemethodologiesascontainedintheMOHealthNet |
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| 170 | 170 | | 158stateplanasofJanuary1,2005;exceptthat,onorafterJuly1,2005,lessrestrictiveincome |
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| 171 | 171 | | 159methodologies,asauthorizedin42U.S.C.Section1396a(r)(2),maybeusedtochangethe |
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| 172 | 172 | | 160incomelimitifauthorizedbyannualappropriation; |
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| 173 | 173 | | 161 (b)Allpersonswhowouldbedeterminedtobeeligibleforaidtotheblindbenefits |
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| 174 | 174 | | 162undertheeligibilitystandardsineffectDecember31,1973,asauthorizedby42U.S.C. |
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| 175 | 175 | | 163Section1396a(f),orlessrestrictivemethodologiesascontainedintheMOHealthNetstate |
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| 176 | 176 | | 164planasofJanuary1,2005,exceptthatlessrestrictiveincomemethodologies,asauthorizedin |
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| 177 | 177 | | HB1382 5 16542U.S.C.Section1396a(r)(2),shallbeusedtoraisetheincomelimittoonehundredpercent |
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| 178 | 178 | | 166ofthefederalpovertylevel; |
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| 179 | 179 | | 167 (c)Allpersonswhowouldbedeterminedtobeeligibleforpermanentandtotal |
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| 180 | 180 | | 168disabilitybenefitsundertheeligibilitystandardsineffectDecember31,1973,asauthorized |
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| 181 | 181 | | 169by42U.S.C.Section1396a(f);orlessrestrictivemethodologiesascontainedintheMO |
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| 182 | 182 | | 170HealthNetstateplanasofJanuary1,2005;exceptthat,onorafterJuly1,2005,less |
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| 183 | 183 | | 171restrictiveincomemethodologies,asauthorizedin42U.S.C.Section1396a(r)(2),maybe |
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| 184 | 184 | | 172usedtochangetheincomelimitifauthorizedbyannualappropriations.Eligibilitystandards |
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| 185 | 185 | | 173forpermanentandtotaldisabilitybenefitsshallnotbelimitedbyage; |
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| 186 | 186 | | 174 (25)Personswhohavebeendiagnosedwithbreastorcervicalcancerandwhoare |
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| 187 | 187 | | 175eligibleforcoveragepursuantto42U.S.C.Section1396a(a)(10)(A)(ii)(XVIII).Such |
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| 188 | 188 | | 176personsshallbeeligibleduringaperiodofpresumptiveeligibilityinaccordancewith42 |
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| 189 | 189 | | 177U.S.C.Section1396r-1.Apersonwhoreceivesabreastorcervicalcancerscreeningservice |
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| 190 | 190 | | 178ofatypethatiswithinthescopeofscreeningservicesunderTitleXVofthePublicHealth |
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| 191 | 191 | | 179ServiceAct(42U.S.C.Section300ketseq.)andwhootherwisemeetstheeligibility |
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| 192 | 192 | | 180requirementsformedicalassistancefortreatmentofbreastorcervicalcancerasprovided |
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| 193 | 193 | | 181underthissubdivisioniseligibleformedicalassistanceunderthissubdivisionregardlessof |
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| 194 | 194 | | 182whetherthescreeningservicewasprovidedbyaproviderwhoreceivesorusesfundsunder |
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| 195 | 195 | | 183thattitle; |
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| 196 | 196 | | 184 (26)PersonswhoareinfostercareundertheresponsibilityofthestateofMissourion |
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| 197 | 197 | | 185thedatesuchpersonsattainedtheageofeighteenyears,oratanytimeduringthethirty-day |
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| 198 | 198 | | 186periodprecedingtheireighteenthbirthday,orpersonswhoreceivedfostercareforatleastsix |
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| 199 | 199 | | 187monthsinanotherstate,areresidinginMissouri,andareatleasteighteenyearsofage, |
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| 200 | 200 | | 188withoutregardtoincomeorassets,ifsuchpersons: |
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| 201 | 201 | | 189 (a)Areundertwenty-sixyearsofage; |
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| 202 | 202 | | 190 (b)Arenoteligibleforcoverageunderanothermandatorycoveragegroup;and |
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| 203 | 203 | | 191 (c)WerecoveredbyMedicaidwhiletheywereinfostercare; |
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| 204 | 204 | | 192 (27)Anyhomelesschildorhomelessyouth,asthosetermsaredefinedinsection |
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| 205 | 205 | | 193167.020,subjecttoapprovalofastateplanamendmentbytheCentersforMedicareand |
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| 206 | 206 | | 194MedicaidServices;and |
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| 207 | 207 | | 195 (28)(a)Subjecttoapprovalofanynecessarystateplanamendmentsorwaivers, |
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| 208 | 208 | | 196beginningonJuly6,2023,pregnantwomenwhoareeligiblefor,haveappliedfor,andhave |
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| 209 | 209 | | 197receivedMOHealthNetbenefitsundersubdivision(2),(10),(11),or(12)ofthissubsection |
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| 210 | 210 | | 198shallbeeligibleformedicalassistanceduringthepregnancyandduringthetwelve-month |
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| 211 | 211 | | 199periodthatbeginsonthelastdayofthewoman'spregnancyandendsonthelastdayofthe |
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| 212 | 212 | | 200monthinwhichsuchtwelve-monthperiodends,consistentwiththeprovisionsof42U.S.C. |
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| 213 | 213 | | 201Section1396a(e)(16).ThedepartmentshallsubmitastateplanamendmenttotheCentersfor |
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| 214 | 214 | | HB1382 6 202MedicareandMedicaidServiceswhenthenumberofineligibleMOHealthNetparticipants |
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| 215 | 215 | | 203removedfromtheprogramin2023pursuanttosection208.239exceedstheprojectednumber |
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| 216 | 216 | | 204ofbeneficiarieslikelytoenrollinbenefitsin2023underthissubdivisionandsubdivision(2) |
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| 217 | 217 | | 205ofsubsection6ofsection208.662,asdeterminedbythedepartment,byatleastonehundred |
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| 218 | 218 | | 206individuals; |
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| 219 | 219 | | 207 (b)Theprovisionsofthissubdivisionshallremainineffectforanyperiodoftime |
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| 220 | 220 | | 208duringwhichthefederalauthorityunder42U.S.C.Section1396a(e)(16),asamended,orany |
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| 221 | 221 | | 209successorstatutesorimplementingregulations,isineffect. |
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| 222 | 222 | | 210 2.Rulesandregulationstoimplementthissectionshallbepromulgatedinaccordance |
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| 223 | 223 | | 211withchapter536.Anyruleorportionofarule,asthattermisdefinedinsection536.010,that |
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| 224 | 224 | | 212iscreatedundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit |
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| 225 | 225 | | 213complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section |
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| 226 | 226 | | 214536.028.Thissectionandchapter536arenonseverableandifanyofthepowersvestedwith |
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| 227 | 227 | | 215thegeneralassemblypursuanttochapter536toreview,todelaytheeffectivedateorto |
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| 228 | 228 | | 216disapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof |
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| 229 | 229 | | 217rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2002,shallbeinvalid |
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| 230 | 230 | | 218andvoid. |
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| 231 | 231 | | 219 3.AfterDecember31,1973,andbeforeApril1,1990,anyfamilyeligiblefor |
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| 232 | 232 | | 220assistancepursuantto42U.S.C.Section601,etseq.,asamended,inatleastthreeofthelast |
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| 233 | 233 | | 221sixmonthsimmediatelyprecedingthemonthinwhichsuchfamilybecameineligibleforsuch |
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| 234 | 234 | | 222assistancebecauseofincreasedincomefromemploymentshall,whileamemberofsuch |
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| 235 | 235 | | 223familyisemployed,remaineligibleforMOHealthNetbenefitsforfourcalendarmonths |
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| 236 | 236 | | 224followingthemonthinwhichsuchfamilywouldotherwisebedeterminedtobeineligiblefor |
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| 237 | 237 | | 225suchassistancebecauseofincomeandresourcelimitation.AfterApril1,1990,anyfamily |
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| 238 | 238 | | 226receivingaidpursuantto42U.S.C.Section601,etseq.,asamended,inatleastthreeofthe |
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| 239 | 239 | | 227sixmonthsimmediatelyprecedingthemonthinwhichsuchfamilybecomesineligiblefor |
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| 240 | 240 | | 228suchaid,becauseofhoursofemploymentorincomefromemploymentofthecaretaker |
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| 241 | 241 | | 229relative,shallremaineligibleforMOHealthNetbenefitsforsixcalendarmonthsfollowing |
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| 242 | 242 | | 230themonthofsuchineligibilityaslongassuchfamilyincludesachildasprovidedin42 |
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| 243 | 243 | | 231U.S.C.Section1396r-6.Eachfamilywhichhasreceivedsuchmedicalassistanceduringthe |
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| 244 | 244 | | 232entiresix-monthperioddescribedinthissectionandwhichmeetsreportingrequirementsand |
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| 245 | 245 | | 233incometestsestablishedbythedivisionandcontinuestoincludeachildasprovidedin42 |
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| 246 | 246 | | 234U.S.C.Section1396r-6shallreceiveMOHealthNetbenefitswithoutfeeforanadditionalsix |
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| 247 | 247 | | 235months.TheMOHealthNetdivisionmayprovidebyruleandasauthorizedbyannual |
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| 248 | 248 | | 236appropriationthescopeofMOHealthNetcoveragetobegrantedtosuchfamilies. |
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| 249 | 249 | | 237 4.WhenanyindividualhasbeendeterminedtobeeligibleforMOHealthNet |
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| 250 | 250 | | 238benefits,suchmedicalassistancewillbemadeavailabletohimorherforcareandservices |
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| 251 | 251 | | HB1382 7 239furnishedinorafterthethirdmonthbeforethemonthinwhichheorshemadeapplicationfor |
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| 252 | 252 | | 240suchassistanceifsuchindividualwas,oruponapplicationwouldhavebeen,eligibleforsuch |
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| 253 | 253 | | 241assistanceatthetimesuchcareandserviceswerefurnished;provided,further,thatsuch |
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| 254 | 254 | | 242medicalexpensesremainunpaid. |
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| 255 | 255 | | 243 5.ThedepartmentofsocialservicesmayapplytothefederalDepartmentofHealth |
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| 256 | 256 | | 244andHumanServicesforaMOHealthNetwaiveramendmenttotheSection1115 |
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| 257 | 257 | | 245demonstrationwaiverorforanyadditionalMOHealthNetwaiversnecessarynottoexceed |
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| 258 | 258 | | 246onemilliondollarsinadditionalcoststothestate,unlesssubjecttoappropriationordirected |
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| 259 | 259 | | 247bystatute,butinnoeventshallsuchwaiverapplicationsoramendmentsseektowaivethe |
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| 260 | 260 | | 248servicesofaruralhealthclinicorafederallyqualifiedhealthcenterasdefinedin42U.S.C. |
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| 261 | 261 | | 249Section1396d(l)(1)and(2)orthepaymentrequirementsforsuchclinicsandcentersas |
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| 262 | 262 | | 250providedin42U.S.C.Section1396a(a)(15)and1396a(bb)unlesssuchwaiverapplicationis |
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| 263 | 263 | | 251approvedbytheoversightcommitteecreatedinsection208.955.Arequestforsuchawaiver |
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| 264 | 264 | | 252sosubmittedshallonlybecomeeffectivebyexecutiveordernotsoonerthanninetydaysafter |
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| 265 | 265 | | 253thefinaladjournmentofthesessionofthegeneralassemblytowhichitissubmitted,unlessit |
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| 266 | 266 | | 254isdisapprovedwithinsixtydaysofitssubmissiontoaregularsessionbyasenateorhouse |
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| 267 | 267 | | 255resolutionadoptedbyamajorityvoteoftherespectiveelectedmembersthereof,unlessthe |
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| 268 | 268 | | 256requestforsuchawaiverismadesubjecttoappropriationordirectedbystatute. |
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| 269 | 269 | | 257 6.Notwithstandinganyotherprovisionoflawtothecontrary,inanygivenfiscal |
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| 270 | 270 | | 258year,anypersonsmadeeligibleforMOHealthNetbenefitsundersubdivisions(1)to(22)of |
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| 271 | 271 | | 259subsection1ofthissectionshallonlybeeligibleifannualappropriationsaremadeforsuch |
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| 272 | 272 | | 260eligibility.Thissubsectionshallnotapplytoclassesofindividualslistedin42U.S.C.Section |
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| 273 | 273 | | 2611396a(a)(10)(A)(i). |
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| 274 | 274 | | 262 7.(1)Notwithstandinganyprovisionoflawtothecontrary,amilitaryservice |
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| 275 | 275 | | 263member,oranimmediatefamilymemberresidingwithsuchmilitaryservicemember,whois |
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| 276 | 276 | | 264alegalresidentofthisstateandiseligibleforMOHealthNetdevelopmentaldisability |
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| 277 | 277 | | 265services,shallhavehisorhereligibilityforMOHealthNetdevelopmentaldisabilityservices |
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| 278 | 278 | | 266temporarilysuspendedforanyperiodoftimeduringwhichsuchpersontemporarilyresides |
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| 279 | 279 | | 267outsideofthisstateforreasonsrelatingtomilitaryservice,butshallhavehisorhereligibility |
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| 280 | 280 | | 268immediatelyrestoreduponreturningtothisstatetoreside. |
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| 281 | 281 | | 269 (2)Notwithstandinganyprovisionoflawtothecontrary,ifamilitaryservice |
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| 282 | 282 | | 270member,oranimmediatefamilymemberresidingwithsuchmilitaryservicemember,isnota |
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| 283 | 283 | | 271legalresidentofthisstate,butwouldotherwisebeeligibleforMOHealthNetdevelopmental |
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| 284 | 284 | | 272disabilityservices,suchindividualshallbedeemedeligibleforMOHealthNetdevelopmental |
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| 285 | 285 | | 273disabilityservicesforthedurationofanytimeinwhichsuchindividualistemporarilypresent |
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| 286 | 286 | | 274inthisstateforreasonsrelatingtomilitaryservice. |
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| 287 | 287 | | HB1382 8 275 8.Notwithstandinganyassetorincomelimitprovisionsestablishedinsection |
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| 288 | 288 | | 276208.010,208.147,orsubdivision(12),(13),or(14)ofsubsection1thissectionorany |
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| 289 | 289 | | 277othersectionandsubjecttoapprovalofastateplanamendmentorwaiverbythe |
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| 290 | 290 | | 278CentersforMedicareandMedicaidServices,everychildundernineteenyearsofage |
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| 291 | 291 | | 279whohasreceivedapositivediagnosisofphenylketonuriaoranyothermetabolicor |
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| 292 | 292 | | 280geneticdiseaseforwhichtestingisprescribedbythedepartmentofhealthandsenior |
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| 293 | 293 | | 281servicesundersection191.331shallbeeligibletobeenrolledinMOHealthNetcoverage |
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| 294 | 294 | | 282andshallremaineligibleandbecontinuouslyenrolledinsuchcoverageuntilreaching |
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| 295 | 295 | | 283nineteenyearsofagewithoutregardtochangesinincomeorassetsofthechild's |
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| 296 | 296 | | 284household.Aparentorguardianofthechildshallnotberequiredtorecertifyeligibility |
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| 297 | 297 | | 285orundergoanyeligibilityreviewforthechildbeforethechild'snineteenthbirthday |
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| 298 | 298 | | 286unlessthechildmovedoutofthestateortheparentorguardianoptedoutofthe |
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| 299 | 299 | | 287coverageforthechildatanypointafterthechild'sinitialenrollmentinthecoverage. |
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| 300 | 300 | | âś” |
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| 301 | 301 | | HB1382 9 |
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