Nursing facility level of care modified for purposes of home and community-based waiver services.

Summary

HF 4690 revises the definitions and assessment rules used to decide if a person needs nursing‑facility level care under Medicaid. It adds new criteria, including risk factors like recent falls or homelessness, and aligns future assessments with the Patient Driven Payment Model. The changes apply to residents, prospective residents, and the agencies that conduct the assessments, and they take effect on Jan. 1, 2027 or when federal approval is received.

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