ARIZONA HOUSE OF REPRESENTATIVES

Fifty-fifth Legislature

Second Regular Session

 

HB 2088: ALTCS; preadmission screening

Sponsor: Representative Osborne, LD 13

Committee on Health & Human Services

Overview

Requires preadmission screening for Arizona Long Term Care Services (ALTCS) home and community-based services to be conducted telephonically, unless the Arizona Health Care Cost Containment (AHCCCS) determines it necessary to conduct in person.

History

The ALTCS system includes the management and delivery of hospitalization, medical care, institutional services and home and community-based services to members through AHCCCS, program contractors and providers. AHCCCS maintains the full operational responsibility for the system and those responsibilities are outlined in statute (A.R.S. § 36-2932).

The Director of AHCCCS is required to adopt rules establishing a uniform statewide preadmission screening program to determine if an individual meets eligibility criteria for institutional services or home and community-based services. These rules establish a uniform preadmission screening instrument that assesses the functional, medical, nursing, social and developmental needs of the applicant. A person must have a nonpsychiatric medical condition or have a developmental disability, that by itself or in combination with other medical conditions, necessitates the level of care that is provided in a nursing facility or intermediate care facility (A.R.S. § 36-2936).

Provisions

1.   ☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal NoteRequires preadmission screening for ALTCS home and community-based services to be conducted telephonically, unless AHCCCS determines it necessary to conduct the assessment in person. (Sec. 1)

2.   Directs a nursing care institution to notify AHCCCS, rather than the Department of Health Services (DHS), for a person who is mentally ill about any significant changes that occurs in the physical or mental condition of the member residing there within ten working days. (Sec. 1)

3.   Shifts the responsibility to AHCCCS, rather than DHS, to conduct a subsequent level II screening review of the member. (Sec. 1)

4.   Makes technical and conforming changes. (Sec. 1)

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8.                     HB 2088

9.   Initials AG Page 0 Health & Human Services

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