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Department of Health and Social Services Division of Medicaid & Medical Assistance

Department of Health and Social Services Division of Medicaid & Medical Assistance. Joint Finance Committee Hearing Fiscal Year 2012 Rosanne Mahaney Division Director Thursday, March 3, 2011. Overview. Medicaid Delaware Healthy Children Program (CHIP)

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Department of Health and Social Services Division of Medicaid & Medical Assistance

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  1. Department of Health and Social ServicesDivision of Medicaid & Medical Assistance Joint Finance Committee Hearing Fiscal Year 2012 Rosanne Mahaney Division Director Thursday, March 3, 2011

  2. Overview • Medicaid • Delaware Healthy Children Program (CHIP) • Delaware Prescription Assistance Program (DPAP) • Chronic Renal Disease Program (CRDP) • Legal Non-Citizen Healthcare Program

  3. Opportunities & Accomplishments The Affordable Care Act Enhanced Federal Match for Medicaid Expansion in 2014 $1 million Health Benefit Exchange Planning Grant $400,000 MFP/ADRC Grant Program Integrity Efforts Recovery Audit Contractor (RAC) $1 million in Collections in SFY ‘10 National Correct Coding Initiative (NCCI)

  4. Opportunities & Accomplishments(cont’d) • ACA Quality of Care and Payment Improvement Provisions • Electronic Health Record (EHR) Incentive Payment Program • Money Follows the Person Program • Medicaid for Workers with Disabilities Program

  5. Challenges

  6. Challenges

  7. Cost Containment Strategies Benefit Restrictions 34 states have implemented benefit restrictions Service Limitations do not apply to: Children Individuals in need of Long Term Care Services

  8. Cost Containment Strategies(cont’d) • Cost Sharing 45 states have either implemented or plan to increase cost sharing requirements • Provider Rate Changes 39 states recently implemented provider rate reductions

  9. Integrated Long Term Care

  10. FY 12 Governor’s Recommended Budget • $52 million to fill the gap created by the loss of enhanced federal funding in SFY ’12 • $55.3 million GF will be carried over from SFY ‘11 due to the 6 month extension of enhanced federal match to June 2011 • $2.2 million to fully fund DDDS community clients from SFY ’11 • $295.5 thousand to fully fund the Chronic Renal Disease Program

  11. FY 12 Governor’s Recommended Budget (cont’d) Tobacco Funds (ASF) • $1,113.7 to fully fund the Delaware Healthy Children Program • $1,027.2 to fully fund the Medical Assistance Transition (MAT) Program • ($1,250.0) reduction to DPAP to reflect service and administrative savings • ($1,570.0) reduction to the Legal Non-Citizen Program

  12. Legal Non-Citizen Program • 100% State-funded Program • Pregnant Women and Children Moved to Medicaid & CHIP in SFY ‘11. • Now Serves 847 adults

  13. Thank You

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