Medicaid would cover the full cost of seizure monitoring devices and their service fees
What it does
The bill would require the Health and Human Services Commission to make sure Medicaid covers the full cost of an FDA-approved seizure detection device when a recipient's doctor says the device is medically appropriate. It would treat those devices as durable medical equipment and set the payment rate for related service and subscription fees at least equal to the Medicaid rate for home telemonitoring services. It would also require a statewide awareness campaign for providers, recipients, and the public about the devices and their coverage, including information on sudden, unexpected death from epilepsy. If a part of the bill needs a federal waiver, the agency could delay that part, and the bill would take effect September 1, 2027.
What it means for your community
If someone on Medicaid in your family has epilepsy, a monitoring device and its service or subscription fee could be covered instead of paid out of pocket. The commission would review the list of covered devices every two years and update it as technology changes, and the awareness campaign would tell providers and families what is available. People who count on a caregiver to respond during a seizure are the ones most likely to feel the change. Nothing happens until the legislature passes the bill.
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