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