2010 Session

Budget Amendments - SB30 (Floor Approved)

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Reduce Managed Care Rates by 4 Percent in FY 2012

Item 297 #14s

Item 297 #14s

First Year - FY2011 Second Year - FY2012
Health And Human Resources
Medical Assistance Services, Department of FY2011 $0 FY2012 ($41,755,278) GF
FY2011 $0 FY2012 ($41,755,278) NGF

Page 196, line 50, strike "$7,272,405,030" and insert "$7,188,894,474".
Page 209, after line 23, insert:
“XXX. The Department of Medical Assistance Services shall ensure that the FY 2012 capitation rate increase for Medallion II does not exceed 4.0 percent.  If other provider rate limitations required by this act result in corresponding adjustments to the FY 2012 capitation rates, these limits shall be reduced by the amount of the impact on Medallion II rates of those downward adjustments.  To the extent that the 101st United States Congress enacts legislation that extends enhanced federal Medicaid funding, the amounts reduced in this paragraph shall not become effective."

(This amendment reduces funding for Medicaid managed care organization (MCOs) by four percent in FY 2012. The introduced budget increased Medicaid payment rates by eight percent in FY 2012 for Medicaid MCOs to recognize the rising cost of delivering medical services. Language is added to restore funding if Congress passes a six-month extension of enhanced federal Medicaid funding.)