HB 1624 — Appropriation; Medicaid, Division of.

1624 (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 2024.

...............................................$ 838,953,656.00.846,380,488.00.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ A1/2 23/HR13/A32823/HR31/A328SG PAGE 1 medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 2023, and ending June 30, 2024......

...............................................$ 315,635,553.00.352,666,905.00.

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, 2023, and ending June 30, 2024..................................$ 5,484,929,142.00.6,046,663,411.00.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 2 CHIP Program at up to 209% level of poverty..$ 9,000,000.00.

921927 Time-Limited:

2382 With the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for Personal Services for Fiscal Year 2025 do not exceed Fiscal Year 2024 funds appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2024 budget by the Mississippi Legislature.

The Legislature shall determine the agency’s personal services appropriation, which shall be published by the State Personnel Board.Board shall publish.

Additionally,The theagency’s Statepersonal Personnelservices Boardappropriation shallmay determineconsist andof publishrestricted thefunds projectedfor annualizedapproved payrollvacancies costsfor basedFiscal onYear current2024 employees.that may not be utilized for active Fiscal Year 2023 Headcount.

It shall be the agency's responsibility ofto ensure that the agencyfunds headprovided tofor ensurevacancies thatare actualused personnelto expendituresincrease headcount and not for Fiscalpromotions, Yeartitle 2024changes, doin-range notsalary exceedadjustments theor dataany providedother bymechanism thefor Legislativeincreasing Budgetsalaries Office.for current H.

If the agency’s Fiscal Year 2024 projected cost exceeds the annualized costs, no salary actions H.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 3 shallemployees. be processed by the State Personnel Board with the exception of new hires that are determined to be essential for the agency.

AnyIt transfersis orthe escalationsLegislature’s shallintention bethat madeno inemployee accordancesalary withfalls below the terms,minimum conditionssalary and procedures established by law or allowable under the termsMississippi setState forthPersonnel withinBoard. this act.

Additionally, the State Personnel Board shall determine and publish the projected annualized payroll costs based on current employees.

It shall be the responsibility of the agency head to ensure that actual personnel expenditures for Fiscal Year 2024 do not exceed the data provided by the Legislative Budget Office.

If the agency’s Fiscal Year 2024 projected cost exceeds the annualized costs, no salary actions shall be processed by the State Personnel Board except for new hires determined to be essential for the agency.

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.

No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.

None of the funds herein appropriated shall be used in violation of Internal Revenue Service’s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.

Funds have been appropriated herein for the purpose of funding Project SEC2 minimum salaries for all employees covered under the Colonel Guy Groff/Neville Kenning Variable Compensation Plan.

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

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 4 SECTIONNone 6.of the funds herein appropriated shall be used in violation of the Internal Revenue Service’s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.

SECTION 6.

In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of the Legislature that the funds provided herein shall be utilized inH. the most efficient and effective manner possible to achieve the intended mission of this agency.

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

H.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 5 FY2024in Performancethe Measuresmost Targetefficient Administrativeand Serviceseffective Adminmanner aspossible ato Percentachieve ofthe Totalintended Budgetmission 3.66 Third Party Liability Cost Avoided (Thou) 1,176,412.00 Percent of Cleanthis Claimsagency. 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.

ofBased Promptnesson -the Medicaidfunding 90.00authorized, Thirdthis Partyagency Fundsshall Recoveredmake 7,998,051.00every Numbereffort of Providers Submitting Electronic Claims 31,500 Turnover Rate of Employees 15.00 Medical Services Costs of Emergency Room Visits 171,539,318 Number of Emergency Room Visits 418,177 Medicaid Recipients - Enrolled (Persons) 793,762 Child Physical Exams (Ages 0-20) 317,675 Adult Physical Exams (21-Older) 10,595 Number of Fraud and Abuse Cases Investigated 300 Number of Medicaid Providers 45,000 Number of Medicaid Beneficiaries Assigned to aattain Managedthe Caretargeted Companyperformance 450,000measures H.provided below:

FY2024 Performance Measures Target Administrative Services Admin as a Percent of Total Budget 3.66 Third Party Liability Cost Avoided (Thou) 1,176,412.00 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 7,998,051.00 Number of Providers Submitting Electronic Claims 31,500 Turnover Rate of Employees 15.00 Medical Services Costs of Emergency Room Visits 171,539,318 Number of Emergency Room Visits 418,177 Medicaid Recipients - Enrolled (Persons) 793,762 Child Physical Exams (Ages 0-20) 317,675 Adult Physical Exams (21-Older) 10,595 H.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 6 Number of Fraud and Abuse Cases Investigated 300 Number of Medicaid Providers 45,000 Number of Medicaid Beneficiaries Assigned to a Managed Care Company 450,000 Percent of MSCAN Diabetic Members Aged 17-75 Receiving HBA1c Test 88.69 Percent of MSCAN Members with Persistent Asthma are Appropriately Prescribed Medication 71.08 Rate of EPSDT Well Child Screening 75.00 Percent Change in Number of Recipients Enrolled From Last Year 2.50 Percent Change in Number of Providers From Last Year 29.15 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 and Disabled - Persons Served 20,559 Elderly and Disabled - Funded Slots 20,121 Elderly and Disabled - Total Authorized Slots 22,200 Assisted Living - Persons Served 945 Assisted Living - Funded Slots 918 Assisted Living - Total Authorized Slots 1,100 Independent Living - Persons Served 3,675 Independent Living - Funded Slots 3,615 Independent Living - Total Authorized Slots 5,800 H.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 7 Assisted Living - Total Authorized Slots 1,100 Independent Living - Persons Served 3,675 Independent Living - Funded Slots 3,615 Independent Living - Total Authorized Slots 5,800 Traumatic Brain Injury - Persons Served 1,103 Traumatic Brain Injury - Funded Slots 1,050 Traumatic Brain Injury - Total Authorized Slots 1,150 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'sH. budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2025.

SECTION 8.

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 H.

1624 *HR13/A328**HR31/A328SG* ~ OFFICIAL ~ 23/HR13/A32823/HR31/A328SG PAGE 8 statedagency's inbudget suchrequest receivedsubmitted bids are equal with respect to price,the qualityJoint andLegislative service,Budget theCommittee Mississippi Industries for theFiscal BlindYear shall2025. be given preference.

SECTION 8.

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, quality and service, the Mississippi Industries for the Blind shall be given preference.

The Governor's Office - Division of Medicaid shall perform its cash flow projections on a predetermined monthly schedule and make this and any other information requested available, upon request, to the Chair of the Senate Public Health and Welfare Committee, the House Public Health and Human Services Committee, theH. House and Senate Medicaid Committees, the House and Senate Appropriations Committees, the Legislative Budget Office and the PEER Committee.