2024 Session

Budget Amendments - SB30 (Floor Approved)

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Psychiatric Residential Treatment Facility Inflation (language only)

Item 288 #14s

Item 288 #14s

Health and Human Resources
Department of Medical Assistance Services


Page 330, after line 45, insert:

"5. Effective July 1, 2026, the department shall establish inflation increases for each fiscal year for PRTF providers. Inflation rates shall be tied to the Nursing Facility Moving Average as established by IHS Markit (or its successor). The most recent four quarters shall be averaged to create the PRTF inflation rate. The department shall have the authority to implement these changes prior to the completion of any regulatory process to effect such change. For the rebasing that shall take effect July 1, 2026, and any rebasing thereafter, any rate ceiling shall not apply to a PRTF that accepts children requiring early and periodic, screening, diagnosis, and treatment (EPSDT) services."


(This amendment clarifies that inflation is provided to PRTF providers every year. This amendment provides that the rate ceiling, currently the statewide weighted average, does not apply to PRTF providers accepting children that require EPSDT services. Federal regulations require coverage of EPSDT services. These changes are not effective until the next rebasing takes effect in 2026 but will allow providers and the agency to plan for the next rebasing and ensure that the cost report process, which will begin in 2025, accounts for these changes.)