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Sustainability of Provider Assessments DHMH Presentation: Maryland Medicaid Advisory Committee October 2011. 1. In order to balance Medicaid’s budget, provider assessments have increased. Provider Assessments, FY 08 – FY 12. 2.
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Sustainability of Provider AssessmentsDHMH Presentation:Maryland Medicaid Advisory Committee October 2011 1
In order to balance Medicaid’s budget, provider assessments have increased Provider Assessments, FY 08 – FY 12 2
Under the President’s proposal to the Joint Selection Committee on Deficit Reduction, provider taxes would be limited for all providers President’s Proposal to the Joint Selection Committee 3
The Department of Budget Management has very preliminary estimates on how the President’s provider tax proposal impacts revenues Maryland’s assessments on nursing homes and hospitals would be impacted by the President’s proposal 4
How should Maryland plan for these possible upcoming changes? • A number of longer term savings (e.g., reforming long-term care) have been proposed • Analyze upward and downward substitution of higher cost services • Potentially less palatable changes include making benefit changes and provider rate cuts, such as: • Eliminating inpatient hospital services for the medically needy • Placing limits on services • Provider rate cuts