Medicaid long-term care options would expand under bill that clears Alabama House committee

More Alabamians with Medicaid coverage would have more options for long-term home and community care under a bill that the House Health Committee approved unanimously Thursday. The bill, which the Senate passed 30-0 Tuesday, now goes to the full House for consideration.

SB 431, sponsored by Senate Majority Leader Greg Reed, R-Jasper, would deliver comprehensive Medicaid long-term care services, including in-home and other community-based services and nursing home care, through one or more integrated care networks (ICNs). A House version of the plan – HB 585, sponsored by Rep. April Weaver, R-Brierfield – won committee approval earlier this month.

The legislation would set up a cost-effective, managed-care health delivery system for seniors and for people with disabilities who have Medicaid coverage and meet the criteria for admission to a nursing home. The bill would remove caps on the number of Alabamians eligible to receive less costly at-home and community-based Medicaid services. The plan would give patients more options in care while retaining the more costly nursing home option if needed.

The ICN plan would be similar in structure to the regional care organizations (RCOs) into which other Medicaid patients will move. The state’s new RCO model is designed to keep patients healthier while cutting costs.

The ICN plan was developed with input from the nursing home industry, health experts and advocates on the Medicaid Long-Term Care Workgroup, of which Arise is a member. The bill calls for each ICN to have a Citizens’ Advisory Committee that includes members nominated by Alabama Arise and a number of advocacy partners.

By M.J. Ellington, health policy analyst. Posted May 21, 2015.