Budget Amendment ID: FY2023-S4-416

EHS 416

PACE program awareness

Ms. Chandler, Ms. Comerford, Mr. Moore, Ms. Chang-Diaz, Ms. Jehlen, Messrs. Crighton, Brady and Eldridge, Ms. Rausch and Messrs. Velis and Gomez moved that the proposed new text be amended by adding after Section 78 the following section:-

“SECTION XX. Section 9 of chapter 118E of the general laws is hereby amended by striking paragraph four and adding in place there of the following:-

A person seeking admission to a long-term care facility paid for by MassHealth shall receive pre-admission counseling for long-term care services, which shall include an assessment of community-based service options including but not limited to the Program of all-inclusive care for the elderly (PACE) pursuant to CFR Part 460.60. A person seeking care in a long-term care facility on a private pay basis shall be offered pre-admission counseling. For the purposes of this section, pre-admission counseling shall be conducted by the executive office of health and human services or the executive office of elder affairs or their subcontractors. The executive office of elder affairs shall, in consultation with the office of acute and ambulatory care in the executive office of health and human services, study the advisability and feasibility of using certain Medicaid providers to provide pre-admission counseling. The division shall report to the general court on an annual basis the number of individuals who received pre-admission counseling under this section and the number of diversions to the community generated by the pre-admission counseling program.”