Struck = removed from the bill ·
added = the amendment's new text.
MISSISSIPPISenate LEGISLATUREAmendments REGULARto SESSIONHouse 2022Bill By:No.
Representatives1613 Read,TO Mims,THE Arnold,CLERK To:OF THE HOUSE:
AppropriationsTHIS Bounds,IS Clark,TO Clarke,INFORM Currie,YOU Hines,THAT Hood,THE Horan,SENATE Sanford,HAS Watson,ADOPTED Young,THE StampsAMENDMENTS HOUSESET BILLOUT NO.BELOW:
1613AMENDMENT ANNO. 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.
BE1 ITAmend ENACTEDby BYstriking THEall LEGISLATUREafter OFthe THEenacting STATEclause OFand MISSISSIPPI:inserting in lieu thereof the following:
The following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Medical Care Fund created by Section 43-13-143, Mississippi Code of 1972, for the purpose of providing H.medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 2022, and ending June 30, 2023......
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ A1/2 22/HR13/A328 PAGE 1 medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 2022, and ending June 30, 2023......
PAGE 11613 SECTION 3.
H.CHIP Program at up to 209% level of poverty..$ 9,000,000.00.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 2 CHIP Program at up to 209% level of poverty..$ 9,000,000.00.
It is the intention of the Legislature that funds may be shifted among the above allocated line items where needed at the PAGE 21613 discretion of the Executive Director of Governor's Office - Division of Medicaid.
0 With the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for “PersonalPersonal Services”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.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 3 Legislative Budget Office.
PAGE 31613 Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or allowable under the terms set forth within this act.
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.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 4 funds are used to increase all employees’ salaries up to the minimum level as determined by the State Personnel Board.
It is the intention of the Legislature that the Governor's Office - Division of Medicaid shall maintain complete accounting and personnel records related to the expenditure of all PAGE 41613 funds appropriated under this act and that such records shall be in the same format and level of detail as maintained for Fiscal Year 2022.
Based on the funding authorized, H.this agency shall make every effort to attain the targeted performance measures provided below:
B.FY2023 Performance Measures Target Administrative Services Admin as a Percent of Total Budget 3.74 PAGE 51613 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.
No.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 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 PAGE 61613 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.
1613of *HR13/A328*Promptness ~90.00 OFFICIALHome ~& 22/HR13/A328Comm 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 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 PAGE 571613 thisAuthorized agencySlots shall4,150 makePercent everyChange effortin toPersons attainon 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 targeteddegree to which the performance measurestargets set above have been or are being achieved shall be provided below:in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2024.
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.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 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.
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.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 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 H.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.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 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.
These PAGE 81613 reports shall include, but are not limited to, an accounting of all funds spent in the medical program, the CHIP program, the Dialysis Transportation program, and each of the Home and Community Based Waiver programs, and an accounting of all funds spent in the administrative program, participant statistics and any other information requested by the Legislative Budget Office and the PEER Committee.
H.SECTION 10.
B.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 PAGE 91613 Management and Budget and whose eligibility was covered under the former category of eligibility known as Poverty Level Aged and Disabled (PLADS).
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 9 SECTION 10.
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).
It is the intention of the Legislature that the funds appropriated in this act to the Governor's Office - Division of Medicaid for the Mississippi Coordinated Access Network (MS-CAN) program be used in the most efficient and effective H.manner possible to achieve the intended mission of the division.
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 10 manner possible to achieve the intended mission of the division.
PAGE 10613 b.
It is the intention of the Legislature that the Governor's Office - Division of Medicaid and the Department of Human Services shall continue to work together to implement HB H.1090 of the 2017 Regular Session, known as the "Medicaid and Human Services Transparency and Fraud Prevention Act".
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 PAGE 11 1090 of the 2017 Regular Session, known as the "Medicaid and Human Services Transparency and Fraud Prevention Act".
It is the intention of the Legislature that the cost of PAGE 11613 providing home and community based services shall not exceed the cost of nursing facility services, as determined by the Division.
H.SECTION 17.
B.This act shall take effect and be in force from and after July 1, 2022, and shall stand repealed June 29, 2022.
No.Further, amend by striking the title in its entirety and inserting in lieu thereof the following:
1613AN *HR13/A328*ACT ~MAKING OFFICIALAN ~APPROPRIATION 22/HR13/A328TO PAGETHE 12GOVERNOR'S SECTIONOFFICE-DIVISION 17.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.
ThisSS15\HB1613A.J actEugene shallS. take effect and be in force from and after July 1, 2022, and shall stand repealed June 30, 2022.
H.Clarke Secretary of the Senate PAGE 12613
B.
No.
1613 *HR13/A328* ~ OFFICIAL ~ 22/HR13/A328 ST:
Appropriation;
Medicaid, Division of.
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