‘‘(i) the individual (or the individual’s 
authorized representative) requests a vol-
untary termination of eligibility; 
‘‘(ii) the individual ceases to be a resi-
dent of the State; 
‘‘(iii) the State determines that eligi-
bility was erroneously granted because of 
State error or fraud, abuse, or perjury at-
tributed to the individual (or the individ-
ual’s authorized representative); or 
‘‘(iv) the individual dies. 
‘‘(4) ISSUANCE OF DISASTER RELIEF MEDICAID 
ELIGIBILITY CARD.—A State shall issue a disaster 
relief Medicaid eligibility card to each applicant who 
is determined to be a relief-eligible survivor of a dis-
aster and eligible for medical assistance under this 
section, which shall be valid for the duration of the 
relief coverage period of the disaster. 
‘‘(5) VERIFICATION OF STATUS AS A RELIEF- 
ELIGIBLE SURVIVOR.— 
‘‘(A) IN GENERAL.—The State shall make 
a good faith effort to verify the status of an in-
dividual who is enrolled in the State plan (or a 
waiver of such plan) as a relief-eligible survivor 
of a disaster in accordance with this section. 
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Such effort shall not delay the determination of 
the eligibility of the individual for medical as-
sistance under this section, and a State may en-
roll an individual in the State plan or waiver 
under this section pending such verification. 
‘‘(B) EVIDENCE
OF
VERIFICATION.—A 
State may satisfy the verification requirement 
under subparagraph (A) with respect to an in-
dividual by showing that the State obtained in-
formation from the Social Security Administra-
tion, the Internal Revenue Service, or, if appli-
cable, the State Medicaid agency of the home 
State of the individual. 
‘‘(6) DETERMINATION BY EXPRESS LANE AGEN-
CY.—Any determination or redetermination of eligi-
bility or verification of status made under this sec-
tion shall be made by an Express Lane agency (as 
defined in section 1902(e)(13)(F)). 
‘‘(d) SCOPE OF COVERAGE.— 
‘‘(1) IN GENERAL.—A State providing medical 
assistance to a relief-eligible survivor of a disaster in 
accordance with this section shall provide medical 
assistance that is at least equal in amount and scope 
to the medical assistance that would otherwise be 
made available to such survivor if the survivor were 
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enrolled in the State plan (or waiver of such plan) 
as an individual described in clause (i) of section 
1902(a)(10)(A), except that, in the case of such a 
survivor whose home State is not the State providing 
medical assistance to the individual, the State shall 
also provide medical assistance for any item or serv-
ice for which medical assistance is available to indi-
viduals 
described 
in 
clause 
(i) 
of 
section 
1902(a)(10)(A) under the State plan (or waiver) of 
the survivor’s home State. 
‘‘(2) PROVIDER
PAYMENT
RATES
FOR
HOME 
STATE SERVICES.—In the case of medical assistance 
provided under this section by a State to a relief-eli-
gible survivor of a disaster whose home State is not 
the State providing such assistance for an item or 
service which is not otherwise available under the 
State plan (or waiver of such plan) but which is 
available under the State plan (or waiver) of the sur-
vivor’s home State, the State shall pay the provider 
of such item or service at least at the same rate that 
the home State would pay for the item or service if 
it were provided under the plan or waiver of the 
home State (or, if no such payment rate applies 
under the plan or waiver of the home State, the 
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usual and customary prevailing rate for the item or 
service for the community in which it is provided). 
‘‘(3) RETROACTIVE COVERAGE.— 
‘‘(A) IN GENERAL.—Notwithstanding sec-
tion 1905(a), a State shall provide medical as-
sistance for items and services furnished in the 
State beginning with the first day of the relief 
coverage period of a disaster to any relief-eligi-
ble survivor of the disaster who submits an ap-
plication for such assistance before the deadline 
described in subparagraph (B). 
‘‘(B) APPLICATION DEADLINE.—The dead-
line for a relief-eligible survivor of a disaster to 
submit an application for medical assistance in 
accordance with this section is the date that is 
90 days after the end of the disaster’s relief 
coverage period. 
‘‘(4) CHILDREN
BORN
TO
RELIEF-ELIGIBLE 
SURVIVORS OF A DISASTER.—In the case of a child 
born to a relief-eligible survivor of a disaster who is 
provided medical assistance in accordance with this 
section during the relief coverage period of the dis-
aster, the child shall be treated as having been born 
to a pregnant individual eligible for medical assist-
ance under the State plan (or waiver of such plan) 
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and shall be eligible for medical assistance under 
such plan (or waiver) in accordance with section 
1902(e)(4). Notwithstanding subsection (f), the Fed-
eral medical assistance percentage determined for a 
State and fiscal year under section 1905(b) shall 
apply to medical assistance provided during the year 
to a child under the State plan (or waiver) in ac-
cordance with the preceding sentence. 
‘‘(5) OPTION TO PROVIDE EXTENDED MENTAL 
HEALTH
AND
CARE
COORDINATION
BENEFITS.—A 
State may provide, without regard to any restric-
tions on amount, duration, scope, or comparability, 
or other restrictions under this title or the State 
plan or waiver of such plan (other than restrictions 
applicable to services provided in an institution for 
mental diseases), medical assistance to relief-eligible 
survivors of a disaster under this section for ex-
tended mental health and care coordination services, 
which may include the following: 
‘‘(A) Screening, assessment, and diagnostic 
services (including specialized assessments for 
individuals with cognitive impairments). 
‘‘(B) Coverage for a full range of mental 
health medications at the dosages and fre-
quencies prescribed by health professionals for 
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depression, post-traumatic stress disorder, and 
other mental disorders. 
‘‘(C) Treatment of alcohol and substance 
abuse determined to result from circumstances 
related to the disaster. 
‘‘(D) Psychotherapy, rehabilitation and 
other treatments administered by psychiatrists, 
psychologists, social workers, or other qualified 
mental or behavioral health professionals for 
conditions exacerbated by, or resulting from, 
the disaster. 
‘‘(E) Peer support services related to the 
disaster. 
‘‘(F) Mobile crisis services to assist with 
crises related to the disaster. 
‘‘(G) Inpatient and outpatient mental 
health care. 
‘‘(H) Family counseling for families where 
a member of the immediate family is a survivor 
of the disaster or a first responder to the dis-
aster or includes an individual who has died as 
a result of the disaster. 
‘‘(I) In connection with the provision of 
health and long-term care services, arranging 
for, (and when necessary, enrollment in waiver 
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programs or other specialized programs), and 
coordination related to, primary and specialty 
medical care, which may include personal care 
services, durable medical equipment and sup-
plies, assistive technology, and transportation. 
‘‘(6) OPTION TO PROVIDE HOME AND COMMU-
NITY-BASED SERVICES.— 
‘‘(A) IN GENERAL.—A State may provide 
medical assistance under this section for home 
and community-based services to a relief-eligible 
survivor of a disaster, including any survivor 
who is an individual described in subparagraph 
(B), who self-attests that the survivor imme-
diately requires such services, without regard to 
whether the survivor would require the level of 
care provided in a hospital, nursing facility, or 
intermediate care facility for the develop-
mentally disabled. 
‘‘(B) INDIVIDUALS
DESCRIBED.—Individ-
uals described in this subparagraph are relief- 
eligible survivors of a disaster who— 
‘‘(i) on any day during the week pre-
ceding the date on which the disaster is de-
clared (as described in subparagraph (A), 
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(B), or (C) of subsection (b)(1), as applica-
ble)— 
‘‘(I) had been receiving home and 
community-based services in a direct 
impact area under a waiver under sec-
tion 1115 or section 1915; 
‘‘(II) had been receiving support 
services from a family caregiver who, 
as a result of the disaster, is no 
longer available to provide services; or 
‘‘(III) had been receiving per-
sonal care, home health, or rehabilita-
tive services under a State plan under 
this title or under a waiver granted 
under sections 1115 or 1915; or 
‘‘(ii) are disabled (as determined in 
accordance with the State plan of the home 
State of the individual). 
‘‘(C) WAIVER OF RESTRICTIONS.—With re-
spect to the provision of home and community- 
based services under this paragraph, the Sec-
retary— 
‘‘(i) shall waive any limitations on— 
‘‘(I) the number of individuals 
who may receive home or community- 
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based services under a waiver de-
scribed in subparagraph (B)(i)(I); 
‘‘(II) budget neutrality require-
ments applicable to such waiver; and 
‘‘(III) populations eligible for 
services under such waiver; and 
‘‘(ii) may waive any other restriction 
applicable under such a waiver that would 
prevent a State from providing home and 
community-based services in accordance 
with this paragraph. 
‘‘(e) STATE REPORTS.—Each State shall submit to 
the Secretary an annual report that includes— 
‘‘(1) the number of survivors of a disaster who 
were determined by the State to be relief-eligible 
survivors of a disaster in the preceding year; and 
‘‘(2) the number of relief-eligible survivors of a 
disaster who were determined to be eligible for, and 
enrolled in, the State plan (or waiver of such plan) 
or the State child health plan under title XXI (or 
waiver of such plan) other than under this section. 
‘‘(f) 100 PERCENT
FEDERAL
MATCHING
PAY-
MENTS.— 
‘‘(1) IN
GENERAL.—Notwithstanding section 
1905(b), the Federal medical assistance percentage 
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shall be equal to 100 percent with respect to 
amounts expended by a State— 
‘‘(A) for medical assistance provided in ac-
cordance with this section to relief-eligible sur-
vivors of a disaster during the relief coverage 
period of the disaster and, in the case of indi-
viduals described in clause (ii) or (iii) of sub-
section (b)(5)(C), during the applicable periods 
described in such clauses; and 
‘‘(B) that are directly attributable to ad-
ministrative activities related to the provision of 
medical assistance under this section, including 
costs attributable to obtaining recoveries under 
subsection (g). 
‘‘(2) DISREGARD OF LIMITS ON PAYMENTS TO 
TERRITORIES.—The limitations on payment under 
subsections (f) and (g) of section 1108 shall not 
apply to Federal payments under this title that are 
based on the Federal medical assistance percentage 
described in paragraph (1), and such payments shall 
be disregarded in applying such subsections. 
‘‘(g) PENALTY FOR FRAUDULENT APPLICATIONS.— 
‘‘(1) INDIVIDUAL
LIABLE
FOR
COSTS.—If a 
State, as the result of verification activities con-
ducted by the State or otherwise, determines after a 
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fair hearing that an individual has knowingly made 
a false attestation in an application for medical as-
sistance as a relief-eligible survivor of a disaster 
under this section, the State shall, subject to para-
graph (2), seek recovery from the individual for the 
full amount of the cost of medical assistance pro-
vided to the individual under this section. 
‘‘(2) EXCEPTION.—The Secretary shall exempt 
a State from the requirement to seek recovery from 
an individual under paragraph (1) if the Secretary 
determines that it would not be cost-effective for the 
State to do so. 
‘‘(3) REIMBURSEMENT TO THE FEDERAL GOV-
ERNMENT.—Amounts expended by a State for med-
ical assistance provided to an individual under this 
section that are subsequently recovered by the State 
under this subsection shall be treated as an overpay-
ment under this title to the extent that payments 
were made to the State for such amounts. 
‘‘(h) EXEMPTION FROM ERROR RATE PENALTIES.— 
All payments attributable to providing medical assistance 
to relief-eligible survivors of disasters in accordance with 
this section shall be disregarded for purposes of section 
1903(u).’’. 
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