Medicaid; seek federal waiver for plan to allow Medicaid coverage for persons described in the federal Affordable Care Act.
An Act To Direct The Division Of Medicaid To Enter Into Negotiations With The Federal Government To Obtain A Waiver Of Applicable Provisions Of The Medicaid Laws And Regulations To Create A Plan To Allow Medicaid Coverage In Mississippi For Individuals Described In The Federal Affordable Care Act, To Be Known As Healthy Mississippi Works (hmw); To Specify The Provisions That The Division Shall Seek To Have Included In The Waiver Plan, Which Include The Coverage Group, Copayments For Nonemergency Use Of The Emergency Room, Benefit Packages, Funding Of The Plan, Enrollment, And The Timing For Approval Of The Waiver; To Provide That The Coverage Group For Eligibility Under Hmw Shall Be Individuals Who Are 19 Through 64 Years Of Age Whose Income Is Not More Than 138% Of The Federal Poverty Level; To Provide That Individuals In The Coverage Group Must Be Employed For At Least 80 Hours Per Month Or Be Enrolled As A Full-time Student Or In A Workforce Training Program; To Provide That The Coverage Group Shall Not Include Individuals Who Are Offered Health Insurance That Is Provided By Their Employers; To Provide That The Coverage Group Shall Not Include Non-united States Citizens Who Are Ineligible For Medicaid Benefits; To Provide That All Individuals In The Coverage Group Shall Be Enrolled In And Their Services Shall Be Provided By The Managed Care Organizations (mcos), Coordinated Care Organizations (ccos) Provider-sponsored Health Plans (pshps) And Other Such Organizations Paid For Services To The Medicaid Population On A Capitated Basis By The Division; To Provide That All Individuals In The Coverage Group Enrolled Under Hmw Must Pay A Copayment For Nonemergency Use Of The Emergency Room, Which Copayment Will Be Waived Under Certain Circumstances; To Provide That Individuals In The Coverage Group Enrolled Under Hmw Who Are 19 Or 20 Years Of Age Will Receive All Epsdt Benefits To Which They May Be Entitled Under Federal Law And Regulation; To Provide That Individuals E
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