2006 Special Session I

Budget Amendments - HB5002 (Conference Report)

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Increase Medicaid Pediatric Service Rates

Item 302 #22c

Item 302 #22c

First Year - FY2007 Second Year - FY2008
Health And Human Resources
Department Of Medical Assistance Services FY2007 $3,323,923 FY2008 $6,694,756 GF
FY2007 $3,683,793 FY2008 $7,781,854 NGF

Page 258, line 32, strike "$4,989,007,434" and insert "$4,996,015,150".
Page 258, line 32, strike "$5,325,426,176" and insert "$5,339,902,786".
Page 270, line 22, strike "effective".
Page 270, line 23, strike "July 1, 2007".
Page 270, line 26, after "manual, insert "excluding hospital emergency department visits,".
Page 270, line 27, after "increased", strike "by three percent" and insert:
"by five percent effective July 1, 2006, and by five percent effective July 1, 2007".
Page 270, line 31, after "three percent", insert " insert "effective July 1, 2007".
Page 270, line 32, after "shall", strike "promulgate emergency", and insert:
"implement these reimbursement changes on July 1, 2006, or on the date of this enactment, whichever is later.  The Department shall have authority to implement
these reimbursement changes prior to the completion of any regulatory
process undertaken in order to effect such change."
Page 270, strike lines 33 and 34.

(This amendment provides $3.3 million the first year and $6.7 million the second year from the general fund and $3.7 million the first year and $7.8 million the second year from federal matching dollars to increase reimbursement rates for pediatric services by five percent each year. This increase over the biennium applies to physicians and practitioners that deliver pediatric services, excluding hospital emergency department visits, to children age 21 and younger who are enrolled in Medicaid and FAMIS. The introduced budget included funding and budget language that increased physician payment rates by three percent effective July 1, 2007. Language is added to provide the Department with the authority to amend the State Plan for Medical Assistance to effect the reimbursement changes, which is typically done through the adoption of emergency regulations. This additional language is needed to allow the reimbursement changes for pediatric services to be implemented on July 1, 2006 without waiting for the regulations to become final.)