SCS/HS/HCS/HB 1566 - This act requires certain cost- containment measures within the Medicaid program.

The Department of Social Services shall conduct an annual income and eligibility verification review for each recipient of medical assistance. The review shall be completed no later than twelve months after the recipient's last eligibility review determination. New language specifies how the verification review may be completed and also requires participants to provide documentation for income verification. The Department must establish by rule the procedures for requiring recipients or applicants to disclose certain information about the availability of employer-sponsored health care and their employment status at the time of application or eligibility verification review.

Subject to federal law, the Department must promulgate rules that require recipients of medical assistance to participate in cost-sharing activities. The cost-sharing activities shall not apply to pharmaceuticals, the health care for uninsured children program, in-home care services, or home-health care services. Providers must make reasonable efforts to collect co-payments from recipients. Providers may make a claim to the Division of Medical Services for any co-payment that is not made by a recipient.

For Medicaid eligibility, investments in annuities shall be limited to annuities which:

-are actuarially sound as measured against the Social Security Administration Life Expectancy Tables;

-provide equal payments for its' duration; and

-provide Missouri with secondary or contingent beneficiary status in an amount equal to the Medicaid expenditure made on the individual's behalf.

The Department must establish a thirty-six month look-back period to review investments in annuities made by applicants for Medicaid benefits. The Department shall also have rule-making authority to implement the provisions of Section 208.212.
LORIE TOWE