State plan amendment to implement express lane eligibility in Medicaid and the PeachCare for Kids Program; enrollment and renewal

O.C.G.A. § 49-4-159.1, under MEDICAL ASSISTANCE GENERALLY.

O.C.G.A. § 49-4-159.1

(a) No later than June 30, 2022, the department shall submit a state plan amendment to the federal Department of Health and Human Services to implement express lane eligibility in accordance with section 1902(e)(13) of the federal Social Security Act to determine whether a child meets one or more of the eligibility criteria for and enroll the child in Medicaid and the PeachCare for Kids Program. Such state plan amendment shall include, but not be limited to, reliance on a finding made by the Division of Family and Children Services of the Department of Human Services in determining eligibility of applicants for the federal Supplemental Nutrition Assistance Program and other programs as identified by the department and the Division of Family and Children Services of the Department of Human Services. (b) Upon approval of a state plan amendment, the Division of Family and Children Services of the Department of Human Services shall employ express lane eligibility by evaluating data received from applicants for the federal Supplemental Nutrition Assistance Program and other programs, as identified by the department and the Division of Family and Children Services of the Department of Human Services, to determine eligibility for Medicaid and the PeachCare for Kids Program and to provide for automatic enrollment and renewal of eligible children in Medicaid and the PeachCare for Kids Program. History. Code 1981, § 49-4-159.1, enacted by Ga. L. 2021, p. 345, § 1/HB 163. Effective date. This Code section became effective July 1, 2021. 49-4-159.2. [Effective until December 31, 2025] Remote maternal health clinical services; reporting; termination. (a)(1) As used in this Code section, the term “remote maternal health clinical services” means the use of digital technology: (A) To collect medical and other forms of health data from a patient and electronically transmitting that information securely to a healthcare provider in a different location for interpretation and recommendation; and (B) Through a device that is compliant with the federal Health Insurance Portability and Accountability Act of 1996 and approved by the federal Food and Drug Administration. (2) Such term includes a device that: (A) Performs remote fetal monitoring, including maternal heart rate, fetal heart rate, amniotic fluid, placenta location, fetal presentation, tone, and movement; (B) Measures physiological data, including blood pressure, pulse, pulse oximetry, weight, blood glucose levels, or other such data determined to be medically necessary; (C) Uses remote non-stress test technology; (D) Uses remote ultrasound technology; or (E) Uses Doppler effect technology. (b) No later than October 31, 2025, the department shall submit a detailed written report on the provision of remote maternal health clinical services for Fiscal Year 2024 and Fiscal Year 2025 to recipients of medical assistance who meet eligibility criteria established by the department to the Governor, Lieutenant Governor, Speaker of the House of Representatives, and the chairpersons of the House Committee on Health, the Senate Health and Human Services Committee, the House Committee on Appropriations, and the Senate Appropriations Committee. (c) This Code section shall stand repealed by operation of law on December 31, 2025. History. Code 1981, § 49-4-159.2, enacted by Ga. L. 2023, p. 321, § 3/SB 106, effective July 1, 2023. Effective date. This Code section became effective July 1, 2023.