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S11742017 Regular Session

Appropriates $2,285,308,600 for the Medicaid Division in the Department of Health and Welfare for fiscal year 2018; limits the number of authorized full-time equivalent positions to 216 for fiscal year 2018; provides for transfers to the Cooperative Welfare Fund; directs transfers from trustee and benefit payments; provides legislative intent regarding program integrity; requires monthly Medicaid tracking reports; provides for transfers between programs; requires biannual reports regarding managed care implementation; requires an annual report on flexible spending authority; provides legislative intent for non-emergency medical transportation for fiscal year 2018; appropriates an additional $10,741,500 for the Medicaid Division for fiscal year 2017; reduces the appropriation by $22,600,000 for the Enhanced Medicaid Plan program for fiscal year 2017; authorizes 5 additional full-time equivalent positions for fiscal year 2017; and provides legislative intent for non-emergency medical transportation for fiscal year 2017.

APPROPRIATIONS -- HEALTH AND WELFARE -- MEDICAID -- Appropriates $2,285,308,600 for the Medicaid Division in the Department of Health and Welfare for fiscal year 2018; limits the number of authorized full-time equivalent positions to 216 for fiscal year 2018; provides for transfers to the Cooperative Welfare Fund; directs transfers from trustee and benefit payments; provides legislative intent regarding program integrity; requires monthly Medicaid tracking reports; provides for transfers between programs; requires biannual reports regarding managed care implementation; requires an annual report on flexible spending authority; provides legislative intent for non-emergency medical transportation for fiscal year 2018; appropriates an additional $10,741,500 for the Medicaid Division for fiscal year 2017; reduces the appropriation by $22,600,000 for the Enhanced Medicaid Plan program for fiscal year 2017; authorizes 5 additional full-time equivalent positions for fiscal year 2017; and provides legislative intent for non-emergency medical transportation for fiscal year 2017.

APPROPRIATIONSHEALTH AND WELFAREMEDICAID

STATEMENT OF PURPOSE

This is the fiscal year 2018 Original Appropriation and fiscal year 2017 supplemental appropriation bill for the Idaho Department of Health and Welfare for the Medicaid Division. For fiscal year 2018, it appropriates $531,903,900 from the General Fund, $328,070,300 from dedicated funds, and $1,425,334,400 from federal funds, for a total of $2,285,308,600 and 216 FTP. The fiscal year 2018 portion includes adjustments for employee benefit costs, statewide cost allocation, annualizations, cybersecurity insurance, and an ongoing 3% merit-based increase in employee compensation for permanent employees to be distributed at the discretion of the director. Also included is $53,726,600 for nondiscretionary adjustments that include changes for caseload, utilization, and the federal match (FMAP). This bill includes three sections of department-wide intent language and five sections of division-specific intent language for fiscal year 2018. The bill contains four line items. Line item 5 provides $654,100 to continue with the implementation of the federally required financial reporting system called Transformed Medicaid Statistical Information System (TMSIS). Line item 14 adds an additional position to the Estate Recovery Program. Line item 28 add an additional Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit position. The EPSDT program allows a child under 21 to receive medically necessary services that exceed the limits of the Idaho Medicaid plan; including dental, mental health, developmental, and specialty services. The final line item reduces $100,000 of ongoing appropriation for services being requested in another Health and Welfare program. The line item related to the Jeff D lawsuit settlement will be handled in a separate JFAC action. The fiscal year 2017 adjustments include adding five new positions for services related to the K.W. vs Armstrong lawsuit settlement and for changes in the Home and Community Based Services Program. This bill also includes

HOW THEY VOTED

house Chamber· Mar 22, 2017

House Third Reading

✓ Passed
43 Yea
25 Nay
2 absentPassed by 25.71 votes

ABSENT / NOT VOTING (2)

LATEST ACTION

Session Law Chapter 227 Effective: 04/04/2017 SECTIONS 11-15; 07/01/2017 all other SECTIONS

BILL INFO

Session
2017
Chamber
senate
Status date
Apr 4, 2017

LINKS

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