(305 ILCS 5/5-5c)
Sec. 5-5c.
Waiver for home and community-based services for traumatic
brain injury (TBI) patients. The Department shall apply for a waiver from the
United States Health Care Financing Administration to allow payment for home
and community-based services under this Article for traumatic brain injury
patients.
The Department shall submit a Home and Community-Based
Services TBI
Waiver request to the United States Health Care Financing
Administration by January 1, 1998. The waiver shall be requested pursuant to
Section
1915(c) of the Social Security Act. The Department shall request a waiver of
Section 1902(a)(10)(B) of the Social Security Act in order to target home and
community-based services to individuals with a traumatic brain injury meeting
the Medicaid eligibility criteria set forth in appendices to the Prototype
Waiver request.
Under the waiver, the Department, in cooperation with the
Department of Human Services and any other relevant State, local, or federal
government agency, may establish a nursing facility pre-screening program to
determine whether an applicant who is eligible for medical assistance under
this Article and has a traumatic brain injury may use home and community-based
services as a reasonable, lower-cost alternative form of care. If a waiver
request has not been submitted by
January 1,
1998 the Department shall submit the TBI Prototype Waiver request to the
United States Health Care Financing Administration.
(Source: P.A. 90-335, eff. 8-8-97.)
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