2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Deeds
Increase Rates for Psychiatric Residential Treatment Facilities

Item 304 #57s

Item 304 #57s

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $4,658,996 FY2024 $4,658,996 GF
FY2023 $4,977,330 FY2024 $4,977,330 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,742,625,063".
Page 313, line 47, strike "$19,820,607,534" and insert "$19,830,243,860".

Page 339, strike line 44.

Page 339, line 45, strike "ceilings" and insert "Rates".

Page 339, line 46, after "services." insert:

"Beginning July 1, 2022 and until the 2023 rebasing of rates is implemented, PRTF provider per diem rates shall be not be less than that provider's audited cost per day from the facility's cost report for 2018 and no provider's per diem rate shall be less than the statewide weighted average cost per day from fiscal year 2018 cost reports."

Page 339, strike line 47 and insert:

"weighted statewide average daily rate."

Page 339, line 51, after "inflation rate.", insert:

"The department shall also implement inflation increases for each fiscal year subsequent to the last audited cost report in 2018."

Page 340, line 2, strike "to enroll out-of-state providers".

Page 340, line 3, strike "the rate".

Page 340, line 4, strike "ceiling", insert:

"a provider's established rates with in-state and out-of-state providers."


(This amendment provides $5.0 million the first year and $5.0 million the second year from the general fund and a like amount of federal Medicaid matching fund to allow providers of Psychiatric Residential Treatment Facilities (PRTF) services to be paid at Medicaid certified rates and also sets a floor for rates at the weighted statewide average. The amendment also allows for inflation adjustments subsequent to the last Medicaid audited cost reports in 2018 and permits the Department of Medical Assistance Services to negotiate a higher rate with both in-state and out-of-state providers when a child is at risk of being placed out-of-state. )