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2018 Session

Budget Amendments - SB30 (Committee Approved)

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Medicaid Forecasting and Expenditure Reporting Requirements (language only)

Item 307 #12s

Item 307 #12s

Health and Human Resources
Department of Medical Assistance Services

Language

Page 279, line 10, after "Committees." insert:

"In addition to the expenditure forecast, the Department of Medical Assistance Services shall provide a breakout that shows forecasted expenditures by caseload/utilization, inflation, and policy changes.  An enrollment forecast for the same forecast period shall also be submitted with the expenditure forecast."

Page 279, line 11, after "regulations." insert "The forecast shall only include expenditures for medical services in Program 45600 and shall exclude administrative expenditures."

Page 279, line 29, after "finalization.", insert:

"The departments shall provide at this meeting a complete list of all policy and manual adjustments along with the estimated amounts of each adjustment by fiscal year that will be included in the Medicaid forecast due November 1."

Page 279, line 30, after "B." insert "1."

Page 279, line 31, after "service" strike the remainder of the line.

Page 279, line 32, strike "quarter" and insert "that".

Page 279, after line 36, insert:

"2. The Department of Medical Assistance Services shall submit a quarterly report summarizing managed care encounter data by service category in a format similar to the report in paragraph B.1.  This quarterly report shall be submitted to the Department of Planning and Budget and the Chairmen of the House Appropriations and Senate Finance Committees no later than 30 days after the end of each quarter.

3.  The Department of Medical Assistance Services shall report on the expenditures for the prior fiscal year that ended on June 30, that includes the expenditures for each policy adjustment made in the Medicaid and FAMIS programs adopted by the General Assembly in the past session(s).  Each policy adjustment adopted in a General Assembly Session shall be included in the report for five fiscal years beginning from the first year the policy impacted expenditures in the Medicaid and FAMIS programs.  The report shall detail the expenditures of each adjustment separately and show the impact by fiscal year.  The report shall be submitted to the Department of Planning and Budget and the Chairmen of the House Appropriations and Senate Finance Committees by October 1 of each year."



Explanation

(This amendment adds additional information to be included in the annual November 1 forecast of Medicaid expenditures. The amendment also eliminates an unnecessary quarterly report and replaces it with a report on managed care expenditures in Medicaid to improve reporting on program spending. In addition, an annual report is created to track the costs or savings of all policy adjustments made to the Medicaid and FAMIS programs for at least five-years in order to provide better data on how those changes impact expenditure trends over time.)