Florida Senate - 2016 COMMITTEE AMENDMENT
Bill No. SB 7056
Ì395530ÇÎ395530
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
02/15/2016 .
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Appropriations Subcommittee on Health and Human Services (Bean)
recommended the following:
1 Senate Amendment (with title amendment)
2
3 Delete lines 106 - 175
4 and insert:
5 1. Pursuant to s. 430.2053, Aging Resource Center personnel
6 certified by the Department of Elderly Affairs shall perform the
7 screening for each individual requesting enrollment for home and
8 community-based services through the long-term care managed care
9 program. The Department of Elderly Affairs shall request that
10 the individual or the individual's authorized representative
11 provide alternate names and their contact information.
12 2. The individual requesting the long-term care services,
13 or the individual’s authorized representative, must participate
14 in an initial screening or rescreening for placement on the wait
15 list. The screening or rescreening must be completed in its
16 entirety before placement on the wait list.
17 3. Pursuant to s. 430.2053, Aging Resource Center personnel
18 shall administer rescreening annually or upon notification of a
19 significant change in an individual’s circumstances.
20 4. The Department of Elderly Affairs shall adopt by rule a
21 screening tool that generates the priority score, and shall make
22 publicly available on its website the specific methodology used
23 to calculate an individual’s priority score.
24 (b) Upon completion of the screening or rescreening
25 process, the Department of Elderly Affairs shall notify the
26 individual or the individual’s authorized representative that
27 the individual has been placed on the wait list.
28 (c) If the Department of Elderly Affairs is unable to
29 contact the individual or the individual’s authorized
30 representative to schedule an initial screening or rescreening,
31 and documents the action steps to do so, it shall send a letter
32 to the last documented address of the individual or the
33 individual’s authorized representative. The letter must advise
34 the individual or his or her authorized representative that he
35 or she must contact the Department of Elderly Affairs within 30
36 calendar days after the date of the notice to schedule a
37 screening or rescreening and must notify the individual that
38 failure to complete the screening or rescreening will result in
39 his or her termination from the screening process and the wait
40 list.
41 (d) After notification by the agency of available capacity,
42 the CARES program shall conduct a prerelease assessment. The
43 Department of Elderly Affairs shall release individuals from the
44 wait list based on the priority scoring process and prerelease
45 assessment results. Upon release, individuals who meet all
46 eligibility criteria may enroll in the long-term care managed
47 care program.
48 (e) The Department of Elderly Affairs may terminate an
49 individual’s inclusion on the wait list if the individual:
50 1. Does not have a current priority score due to the
51 individual’s action or inaction;
52 2. Requests to be removed from the wait list;
53 3. Does not keep an appointment to complete the rescreening
54 without scheduling another appointment and has not responded to
55 three documented attempts to contact by the Department of
56 Elderly Affairs;
57 4. Receives an offer to begin the eligibility determination
58 process for the long-term care managed care program; or
59 5. Begins receiving services through the long-term care
60 managed care program.
61
62 An individual whose inclusion on the wait list is terminated
63 must initiate a new request for placement on the wait list, and
64 any previous priority considerations must be disregarded.
65 (f) Notwithstanding this subsection, the following
66 individuals are afforded priority enrollment for home and
67 community-based services through the long-term care managed care
68 program and do not have to complete the screening or wait-list
69 process if all other long-term care managed care program
70 eligibility requirements are met:
71 1. Individuals who are 18, 19, or 20 years of age who have
72 chronic debilitating diseases or conditions of one or more
73 physiological or organ systems which generally make the
74 individual dependent upon 24-hour-per-day medical, nursing, or
75 health supervision or intervention.
76 2. Nursing facility residents requesting to transition into
77 the community who have resided in a Florida-licensed skilled
78 nursing facility for at least 60 consecutive days.
79 3. Individuals referred by the department's adult
80 protective services program as high risk and placed in an
81 assisted living facility temporarily funded by the department.
82
83
84 ================= T I T L E A M E N D M E N T ================
85 And the title is amended as follows:
86 Delete line 23
87 and insert:
88 care program; authorizing the department to terminate
89 an