1 / 9

FY 2013 Medicaid Budget Update

FY 2013 Medicaid Budget Update. Medicaid Advisory Committee April 26, 2012. Good news. Physician fee increase intact Alcohol tax revenue used to support: 300 new community waiver slots in OAW 180 new community waiver slots in LAH Increase in OAW case management support

viho
Download Presentation

FY 2013 Medicaid Budget Update

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. FY 2013 Medicaid BudgetUpdate Medicaid Advisory Committee April 26, 2012

  2. Good news • Physician fee increase intact • Alcohol tax revenue used to support: • 300 new community waiver slots in OAW • 180 new community waiver slots in LAH • Increase in OAW case management support • No capping of the PAC program

  3. Legislative Changes to Governor’s Budget, in General Funds • Increase Community LTSS Provider rates by 1.5% • Reduced to 1% (Reduction of $.9M) • Fund the Chronic Health Home project for the full fiscal year • Reduced to six months; added $100,000 for planning • Additional funds for personal care services…………………....$2.6M through use of funding available from eliminating the Nursing Facility bedhold payments • Took full bedhold savings, but only reallocated 50% ($1.3 M) back to personal care. Contingent on BRFA

  4. Legislative Changes to Governor’s Budget, in General Funds (con’t) • MCO 1% reduction ……………………………..… $15.9 M • Added an additional 1% reduction $15.7M • Reduce the medically needy inpatient hospital benefit package …………………………………. $36M • Requires a report on how it will be implemented by 9/15/12 • Implement tiered outpatient rates which means different rates for different types of services ….… $30M • Requires a report on how it will be implemented by 9/15/12 • Implement a DSH pool …………………………... $9.1M • Requires a report on how it will be implemented by 9/15/12 Contingent on BRFA

  5. Legislative Changes to Governor’s Budget, in General Funds (con’t) • Nursing Home increased from 5.5% to 6% …………………………. $5.5 M • Increased revenue estimate to $6.9M Contingent on BRFA • New Medical Day Care of 5.5% ……………………………… $3.4 M • Rejected

  6. Legislative Changes to Governor’s Budget, in General Funds (con’t) • Reduce funding for non-emergency transportation………………………………….……$.6M • Delete funds for early takeover of MMIS…………$6M • Tighten criteria for dental orthodontia program………………………………………….….$.3M • Increase nursing home payments for targeted needs ………………………………………………………..$3M

  7. Budget Language and Narratives • Inform the Committees immediately if budgetary actions impact the Medicare Waiver and deteriorate Maryland’s position on the waiver test. Due by 12/1/2012 • Change the methodology for payment of the MCO Rural Access Incentive and report back on how to best do this. Due by October 15, 2012 • Conduct a study that estimates the value of the tax exempt status enjoyed by not-for-profit nursing homes. Due by 1/1/2013 • Study the use of Psychotropic medications among children in foster care. Due by December 1, 2012

  8. “Doomsday” Budget Items • No rate increase for Mental Health providers • No rate increase for DD providers • Statewide reduction in 500 FTE • No COLA for state employees • Increased share of health insurance premiums for state employees

  9. Additional Issues • “Doomsday” Budget itself not in balance, in the amount of $80 MM • Failure of BRFA to pass also causing deficit of $70 MM • As a result, across state government the budget is out of balance by $150 MM • Additional cuts therefore will be necessary

More Related