HB 1613 — Appropriation; Medicaid, Division of.

1613 (As Sent to Governor) AN ACT MAKING AN APPROPRIATION TO THE GOVERNOR'S OFFICE-DIVISION OF MEDICAID FOR THE PURPOSE OF PROVIDING MEDICAL ASSISTANCE UNDER THE MISSISSIPPI MEDICAID LAW AND DEFRAYING THE EXPENSES OF THE ADMINISTRATION OF THAT LAW FOR THE FISCAL YEAR 2023.

...............................................$ 837,071,754.00.838,822,547.00.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ A1/2 22/HR13/A32822/HR26/A328SG PAGE 1 medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 2022, and ending June 30, 2023......

...............................................$ 366,702,314.00.292,498,317.00.

The following sum, or so much thereof as may be necessary, is appropriated out of any money in any special fund in the State Treasury to the credit of the Governor's Office - Division of Medicaid which is comprised of special source funds collected by or otherwise available to the Division, for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expenses of the administration of such law, for the fiscal year beginning July 1, 2022, and ending June 30, 2023..................................$ 5,187,873,061.00.5,896,606,971.00.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 2 CHIP Program at up to 209% level of poverty..$ 9,000,000.00.

AUTHORIZED POSITIONS:HEADCOUNT:

Full984 Time.............Time-Limited:

94623 PartWith Time.............the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for Personal Services for Fiscal Year 2024 do not exceed Fiscal Year 2023 funds appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2023 budget by the Mississippi Legislature.

9 Time-Limited:

Full Time.............

22 Part Time.............

0 With the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for “Personal Services” for Fiscal Year 2024 do not exceed Fiscal Year 2023 funds appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2023 budget by the Mississippi Legislature.

It shall be the responsibility of the agency head to ensure that actual personnel expenditures for Fiscal Year 2023 do not exceed the data provided by the H.Legislative Budget Office.

If the agency’s Fiscal Year 2023 projected cost exceeds the annualized costs, no salary actions H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 3 Legislativeshall Budgetbe Office.processed by the State Personnel Board with the exception of new hires that are determined to be essential for the agency.

If the agency’s Fiscal Year 2023 projected cost exceeds the annualized costs, no salary actions shall be processed by the State Personnel Board with the exception of new hires that are determined to be essential for the agency.

It shall be the agency’s responsibility to ensure that the H.funds are used to increase all employees’ salaries up to the minimum level as determined by the State Personnel Board.

H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 4 fundsSECTION are6. used to increase all employees’ salaries up to the minimum level as determined by the State Personnel Board.

SECTION 6.

Based on the funding authorized, H.this agency shall make every effort to attain the targeted performance measures provided below:

H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 5 thisFY2023 agencyPerformance shallMeasures makeTarget everyAdministrative effortServices toAdmin attainas thea targetedPercent performanceof measuresTotal providedBudget below:3.74 Third Party Liability Cost Avoided ($Thou) 1,288,062.00 Percent of Clean Claims Processed within 30 Days of Receipt 99.50 Percent of Clean Claims Processed within 90 Days of Receipt 100.00 Percent of Applications Processed within Std of Promptness - Medicaid 90.00 Third Party Funds Recovered 6,954,827.00 Number of Providers Submitting Electronic Claims 31,500 Turnover Rate of Employees (%) 15.00 Medical Services Costs of Emergency Room Visits 176,165,636.00 Number of Emergency Room Visits 632,631 Medicaid Recipients - Enrolled (Persons) 710,000 Child Physical Exams (Ages 0-20) 303,356 Adult Physical Exams (21-Older) 2,948 Number of Fraud & Abuse Cases Investigated 250 Number of Medicaid Providers 34,844 Number of Medicaid Beneficiaries Assigned to a Managed Care Company 450,000 H.

FY2023 Performance Measures Target Administrative Services Admin as a Percent of Total Budget 3.74 Third Party Liability Cost Avoided ($Thou) 1,288,062.00 Percent of Clean Claims Processed within 30 Days of Receipt 99.50 Percent of Clean Claims Processed within 90 Days of Receipt 100.00 Percent of Applications Processed within Std.

of Promptness - Medicaid 90.00 Third Party Funds Recovered 6,954,827.00 Number of Providers Submitting Electronic Claims 31,500 Turnover Rate of Employees (%) 15.00 Medical Services Costs of Emergency Room Visits 176,165,636.00 Number of Emergency Room Visits 632,631 Medicaid Recipients - Enrolled (Persons) 710,000 Child Physical Exams (Ages 0-20) 303,356 Adult Physical Exams (21-Older) 2,948 Number of Fraud & Abuse Cases Investigated 250 Number of Medicaid Providers 34,844 H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 6 Number of Medicaid Beneficiaries Assigned to a Managed Care Company 450,000 Percent of MSCAN Diabetic Members Aged 17-75 Receiving HBA1c Test 88.87 Percent of MSCAN Members with Persistent Asthma are Appropriately Prescribed Medication 52.52 Rate of EPSDT Well Child Screening (%) 75.00 Percent Change in Number of Recipients Enrolled from Last Year -2.06 Percent Change in Number of Providers from Last Year -10.00 Children's Health Insur Prg (chip) Number of CHIP Enrollees 47,000 Percent of CHIP Applications Processed within Std.Std of Promptness 90.00 Home & Comm Based Waiver Prg Elderly & Disabled - Persons Served 19,580 Elderly & Disabled - Funded Slots 19,163 Elderly & Disabled - Total Authorized Slots 21,900 Assisted Living - Persons Served 900 Assisted Living - Funded Slots 874 Assisted Living - Total Authorized Slots 1,100 Independent Living - Persons Served 3,500 Independent Living - Funded Slots 3,443 Independent Living - Total Authorized Slots 5,725 Traumatic Brain Injury - Persons Served 1,050 H.

of Promptness 90.00 Home & Comm Based Waiver Prg Elderly & Disabled - Persons Served 19,580 Elderly & Disabled - Funded Slots 19,163 Elderly & Disabled - Total Authorized Slots 21,900 Assisted Living - Persons Served 900 Assisted Living - Funded Slots 874 Assisted Living - Total Authorized Slots 1,100 Independent Living - Persons Served 3,500 Independent Living - Funded Slots 3,443 H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 7 Independent Living - Total Authorized Slots 5,725 Traumatic Brain Injury - Persons Served 1,050 Traumatic Brain Injury - Funded Slots 1,050 Traumatic Brain Injury - Total Authorized Slots 1,050 Intellectual Disability - Persons Served 3,250 Intellectual Disability - Funded Slots 3,250 Intellectual Disability - Total Authorized Slots 4,150 Percent Change in Persons on Waiting List (E&D) 10.00 Percent Change in Persons on Waiting List (AL) 10.00 Percent Change in Persons on Waiting List (IL) 10.00 Percent Change in Persons on Waiting List (TBI) 10.00 Percent Change in Persons on Waiting List (IDD) 10.00 A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2024.

It is the intention of the Legislature that whenever two (2) or more bids are received by this agency for the purchase of commodities or equipment, and whenever all things stated in such received bids are equal with respect to price, H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 8 purchase of commodities or equipment, and whenever all things stated in such received bids are equal with respect to price, quality and service, the Mississippi Industries for the Blind shall be given preference.

H.SECTION 10.

Of the funds appropriated under the provisions of this act in an amount not to exceed, Two Million Seven Hundred H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 9 SECTIONFifty 10.Thousand Dollars ($2,750,000.00) is provided for the purpose of funding a temporary program to provide nonemergency transportation to locations for necessary dialysis services for end-stage renal disease patients who are sixty-five (65) years of age or older or are disabled as determined under Section 1614(a)(3) of the federal Social Security Act, as amended, whose income did not exceed one hundred thirty-five percent (135%) of the nonfarm official poverty level as defined by the Office of Management and Budget and whose eligibility was covered under the former category of eligibility known as Poverty Level Aged and Disabled (PLADS).

Of the funds appropriated under the provisions of this act in an amount not to exceed, Two Million Seven Hundred Fifty Thousand Dollars ($2,750,000.00) is provided for the purpose of funding a temporary program to provide nonemergency transportation to locations for necessary dialysis services for end-stage renal disease patients who are sixty-five (65) years of age or older or are disabled as determined under Section 1614(a)(3) of the federal Social Security Act, as amended, whose income did not exceed one hundred thirty-five percent (135%) of the nonfarm official poverty level as defined by the Office of Management and Budget and whose eligibility was covered under the former category of eligibility known as Poverty Level Aged and Disabled (PLADS).

Of the funds appropriated inherein, Sectionsno 1more andthan 3,Two Three Hundred Ninety-eightThirty-two Thousand FiveSix Hundred FiftyForty-eight Dollars ($398,550.00) General Funds and OneEighteen MillionCents One($232,648.18) Hundredmay Onebe Thousandused Fourto Hundredpay Fiftyinvoices Dollarsfrom ($1,101,450.00)Fiscal SpecialYear Funds2022 are provided for fiveexpenses (5)to slots in the AssistedMississippi LivingDepartment Waiverof programHealth for personsHealth withFacilities TraumaticLicensure BrainCertification Injuryfor andthe inmonth need of CognitiveOctober Rehabilitation.2021.

TheThis Divisionauthorization shallis developneeded eligibilityto criteriacover forthe thesetime additionalperiod slots.after the expiration of the interagency agreement on September 30, 2021 and before the execution of the new agreement on November 1, 2021.

ItOf is the intentionfunds ofappropriated thein LegislatureSections that1 theand funds3, appropriatedThree inHundred thisNinety-eight actThousand toFive theHundred Governor'sFifty OfficeDollars -($398,550.00) DivisionGeneral ofFunds Medicaidand forOne theMillion MississippiOne CoordinatedHundred AccessOne NetworkThousand (MS-CAN)Four programHundred beFifty usedDollars ($1,101,450.00) Special Funds are provided for five (5) slots in the mostAssisted efficientLiving andWaiver effective H.

1613 *HR13/A328**HR26/A328SG* ~ OFFICIAL ~ 22/HR13/A32822/HR26/A328SG PAGE 10 mannerprogram possiblefor topersons achievewith theTraumatic intendedBrain missionInjury and in need of theCognitive division.Rehabilitation.

The Division shall develop eligibility criteria for these additional slots.