2014 Special Session I

Budget Amendments - SB5003 (Committee Approved)

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Adjust Funding to Reflect Mandatory Increase in ID and DD Waivers

Item 301 #10s

Item 301 #10s

First Year - FY2015 Second Year - FY2016
Health and Human Resources
Medical Assistance Services, Department of FY2015 ($7,839,878) FY2016 $0 GF
FY2015 ($7,839,878) FY2016 $0 NGF

Page 245, line 42, strike "$8,495,724,272" and insert "$8,480,044,516".
Page 257, line 45, after "DDD." insert "1.".
Page 257, line 46, strike "340" and insert "115".
Page 257, after line 47, insert:
"2.  The Department of Medical Assistance Services shall conduct a comprehensive review of the home- and community-based Intellectual Disabilities waiver program from fiscal year 2000 through fiscal year 2013 and explain the factors contributing to growth in the program and recommend strategies that may be employed to ensure that services are provided in the most cost-effective way possible.  The department shall provide its findings and recommendations to the Chairmen of the House Appropriations and Senate Finance Committees no later than October 15, 2014."
Page 257, line 49, strike "25" and insert "15."

(This amendment reduces $7.8 million GF and $7.8 million NGF the first year for Medicaid-funded, home- and community-based Intellectual Disabilities (ID) and Developmental Disability (DD) waiver slots consistent with the Department of Justice (DOJ) Settlement Agreement. The introduced budget over-funded the number of community-based ID and DD waiver slots required under the settlement agreement by 225 ID and 10 DD waiver slots in FY 2015. The settlement agreement dictates that the number of slots created in excess of the "requirement shall be counted towards the slots required to be created in the subsequent fiscal year." In FY 2014, more than 350 ID and 55 DD waivers were created above the settlement agreement's requirement, therefore fewer slots are required in FY 2015. Language is also included requiring a comprehensive review of the growth of the ID waiver program that has increased by $474 million since FY 2000, an increase of 341 percent; these figures do not include the cost of proving acute medical services to this population.)