HB 1129 -- Federal Reimbursement Allowance for In-Home Services

Sponsor:  Stream

This bill authorizes a federal reimbursement allowance for
in home services.  "In-home services" are defined as homemaker
services, personal care services, chore services, respite
services, consumer-directed services, and services required to
keep children out of the hospital under a plan of care created by
a physician.  Each in-home services provider will be required to
pay an in-home services reimbursement allowance based on a
formula established by the Department of Social Services.

Each in-home services provider who is subject to the provisions
of the bill is required to register with the Department of Health
and Senior Services and to keep records necessary to determine
the total payments received for providing in-home services.  Each
provider is required to report the total payments received to the
Department of Social Services.  The Department of Health and
Senior Services must provide the Department of Social Services
with a list of all registered in-home services providers.

The Department of Social Services is required to determine and
notify each provider of the amount of tax due.  The tax may be
adjusted quarterly on a prospective basis or more frequently for
certain providers if the department identifies the need.  If
requested by the in-home services provider, the department may
offset the tax owed against any MO HealthNet Program payment due
the provider.

The In-Home Services Reimbursement Allowance Fund is created to
provide payment to in-home services providers.  All investment
earnings of the fund must be credited to the fund.

For an in-home services provider with a tax due of more than 90
days, the Department of Social Services is required to send
notification of the tax due.  If a provider fails to pay its tax
within 30 days of the notice, the tax is considered delinquent
and the department may proceed with a lien against the provider's
property; deny, suspend, or revoke his or her license; and cancel
or refuse to issue, extend, or reinstate his or her MO HealthNet
provider agreement.

The provisions of the bill will be effective upon authorization
by the federal Centers for Medicare and Medicaid Services for a
federal reimbursement allowance for in-home services.

The provisions of the bill will expire September 30, 2015.

Missouri House of Representatives
95th General Assembly, 1st Regular Session
Last Updated November 17, 2009 at 9:26 am