Report Title:
Medicaid; Psychotropic Medication, Presumptive Eligibility
Description:
Requires DHS to recognize individuals who have not received a decision on their application to be presumptively eligible for psychotropic medication coverage until an eligibility decision is made, and exempts licensed medical care providers from pre-authorization for prescription psychotropic medication. (SD1)
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THE SENATE |
S.B. NO. |
240 |
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TWENTY-THIRD LEGISLATURE, 2005 |
S.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Chapter 346, Hawaii Revised Statutes, is amended by adding two new sections to be appropriately designated and to read as follows:
"§346- Presumptive eligibility for medical assistance; individuals in need of emergency psychiatric or psychological service. (a) An individual who is in need of emergency psychiatric or psychological service and who has not received an eligibility decision from the department shall be presumed eligible for psychotropic medication until an eligibility decision is made; provided that the psychotropic medication shall be prescribed by a licensed medical care provider pursuant to the laws of this State. The department shall reimburse any costs associated with the medication and concomitant physician services during the presumptive eligibility period.
(b) As used in this section, the term "psychotropic medication" means only those agents related to the diagnosis and treatment of mental or emotional disorders, including controlled substances.
§346- Pre-authorization exemption for psychotropic medication. (a) A medical care provider may prescribe psychotropic medication pursuant to the laws of this State to an individual who is medicaid eligible or who is presumed to be medicaid eligible without the requirement of any preauthorization procedure otherwise required by any other provision of this chapter; provided that the individual is in need of emergency psychiatric or psychological service.
(b) As used in this section, the term "psychotropic medication" means only those agents related to the diagnosis and treatment of mental or emotional disorders, including controlled substances."
SECTION 2. New statutory material is underscored.
SECTION 3. This Act shall take effect upon its approval.